Stacy Sturdevant, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

555 S State St
Syracuse, NY 13202-2280

Phone

(315) 435-1770

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1922622299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S STATE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022280",
            "telephone_number": "315-435-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S STATE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022280",
            "telephone_number": "315-435-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "STACY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-10-22",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue A Stucker, NP
• Bonita Marie Stuhlmiller, RN
• John Riordan Stulb, PA
• Clark Edmon Stull, LMT
• Laura Alice Stumhofer
• Molly A Stuttler-James
• Anita Stynes
• Su Pride Taxi
• Estelle Cai-Yue Su
• Abinash Subedi, MBBS

• Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.