Stacie Mott

Key facts

NPI

1801737655

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

0904020105 (VA)

Practice address

11828 Canon Blvd Ste E
Newport News, VA 23606-2554

Phone

(757) 782-4070

NPI assigned

Apr 4, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2026.

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1801737655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD STE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554",
            "telephone_number": "757-782-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "STACIE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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