Stacey M Cornett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1502015 Issued in OH

Practice address

6608 Stonegate Dr
Guilford, IN 47022-9753

Phone

(513) 673-6287

NPI assigned

Jan 18, 2007

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey M Ryan Former name

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Mental Health Center Inc.Group PAC ID 1456330166, 42 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Mental Health Center Inc

  dba INcompass Healthcare

  • Psychiatric Hospital
  • Lawrenceburg, IN
  • NPI 1588732747
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1861545642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-272-2800",
            "fax_number": "513-527-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 STONEGATE DR",
            "city": "GUILFORD",
            "state": "IN",
            "postal_code": "470229753",
            "telephone_number": "513-673-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000078A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "RYAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melody Sue Bohrer, RN,BSN,BC,PCCN
• Carebridge Palliative Care Services
• Hailey Marie Fritz
• Sara Lynn Graf, OTR/L
• Valerie Ann Hilbert, COTA
• Angel A McCarthy, RN
• Nicole Roell

• Clinical Social Worker in Guilford, IN
• Providers in Guilford, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.