Stacy Janel White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017982 Issued in PA

Practice address

RT. 15, 2 Miles North of Allenwood
White Deer, PA 17810

Phone

(570) 547-0963

Fax

(570) 547-9201

NPI assigned

Apr 23, 2020

Last updated

Apr 23, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1881214534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WALNUT ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441123",
            "telephone_number": "570-490-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 15, 2 MILES NORTH OF ALLENWOOD",
            "city": "WHITE DEER",
            "state": "PA",
            "postal_code": "17810",
            "telephone_number": "570-547-0963",
            "fax_number": "570-547-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STACY",
        "middle_name": "JANEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjwhite@bop.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Rt. 15, 2 Miles North of Allenwood",
            "city": "White Deer",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabete M Stahl, D.O.
• Beth Zalno, PA-C

• Clinical Social Worker in White Deer, PA
• Providers in White Deer, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.