Molly McMahon Stagner, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007020 Issued in IA

Practice address

1200 Valley West Dr Ste 304-11
West Des Moines, IA 50266-1903

Phone

(515) 310-1069

Fax

(515) 612-9618

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2020By 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 1

Addresses

Other names 1

• Molly Elizabeth McMahon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Stagner Counseling

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1316504053
  Authorized official Same address or phone

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1861628489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 304-11",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661903",
            "telephone_number": "515-310-1069",
            "fax_number": "515-612-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 304-11",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661903",
            "telephone_number": "515-310-1069",
            "fax_number": "515-612-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGNER",
        "first_name": "MOLLY",
        "middle_name": "MCMAHON",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MCMAHON",
            "middle_name": "ELIZABETH",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie Weires Counseling LLC
• Stadia Sports Medicine PC
• Alexandria Nicole Stafford
• Paula Elizabeth Stageman, ARNP
• Stagner Counseling
• Jeffrey D Stahl, MD
• Meredith Hubbell Stahl, LMHC
• Kimberly Sue Stalker
• Stacey Pappas Stallman, LISW
• Christopher F Stalvey, DO

• Social Worker in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.