Individual provider Active NPI

Stacy Lynn Hurley, MSW, LCSW-C

  • Clinical Social Worker
  • Dundalk, MD
National Provider Identifier
1811216641
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12340 Issued in MD
Practice address
10 Dunmanway
Dundalk, MD 21222-5115
Phone
(410) 285-4357
Fax
(410) 285-4361
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 12340 MD Primary

Addresses

Primary practice location

10 Dunmanway
Dundalk, MD 21222-5115

Mailing address

3200 Green Hill Rd
Edgemere, MD 21219-1104
Phone (410) 733-1516

Other practice location 1

3200 Green Hill Rd
Edgemere, MD 21219-1104
Phone (410) 733-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Social Work Services, LLC Clinical CurrentSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1811216641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREEN HILL RD",
            "city": "EDGEMERE",
            "state": "MD",
            "postal_code": "212191104",
            "telephone_number": "410-733-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUNMANWAY",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225115",
            "telephone_number": "410-285-4357",
            "fax_number": "410-285-4361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Green Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Edgemere",
            "state": "MD",
            "postal_code": "212191104",
            "country_code": "US",
            "telephone_number": "410-733-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.