Individual provider Active NPI

Stan Barnard, LCSW

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1760870547
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1300C Issued in AL
Practice address
8831 Stoneridge PL
Montgomery, AL 36117-8834
Phone
(334) 324-5859
NPI assigned
Jan 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1300C AL Primary

Addresses

Primary practice location

8831 Stoneridge PL
Montgomery, AL 36117-8834

Mailing address

8831 Stoneridge PL
Montgomery, AL 36117-8834
Phone (334) 324-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240904000725 IN Practitioner - Clinical Social Worker 9638619729 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1300CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Recovery Center, Inc. CurrentSince Sep 17, 2024 Accepting new patients
Heartland Behavioral Health Inc CurrentSince Jul 26, 2024 Accepting new patients

Locations

101 Beverly Dr
Chesterton, IN 46304
Phone (219) 690-7025

2068 Lucas Pkwy
Lowell, IN 46356
Phone (219) 690-7025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1760870547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 STONERIDGE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178834",
            "telephone_number": "334-324-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 STONERIDGE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178834",
            "telephone_number": "334-324-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "STAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1300C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.