Nanci Stafford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002930 Issued in NC

Practice address

121 Rolling Hill Rd Ste 225
Mooresville, NC 28117-8861

Phone

(704) 534-5997

NPI assigned

Nov 2, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Nanci Burt Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Florida State University College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stafford & Associates Counseling, PLLC

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1609460567
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720451628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROLLING HILL RD STE 225",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178861",
            "telephone_number": "704-534-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8212 Village Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280313706",
            "country_code": "US",
            "telephone_number": "704-534-5997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "NANCI",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "SC",
            "license": "14762",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14762",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nanciburtl@nanciburtlcsw.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Rolling Hill Rd Ste 225",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nanciburt@nanciburtlcsw.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Rolling Hill Rd Ste 225",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nanciburt@nanciburtlcsw.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Rolling Hill Rd Ste 225",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "BURT",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah O'Neil Speaks, FNP
• Spence Clinical Services, PLLC
• Justin Kyle Squeo, DPT
• SSC Mooresville Operating Company LLC
• Stafford & Associates Counseling, PLLC
• Kevin J Stanley, MD
• Rodney Jay Stanley, MD
• Kylie A Stanton
• Clayton Wade Starnes, NP
• Samantha Carolyn Stearns, PTA

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.