Stacie J Speed, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073710 Issued in NY

Practice address

905 Greene Co Office BLDG
Greene Co Mental Health
Cairo, NY 12413

Phone

(518) 622-9163

Fax

(518) 622-8592

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of GreeneGroup PAC ID 9133038219, 18 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.

• County of Greene

  dba Greene County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cairo, NY
  • NPI 1255360046
  Medicare reassignment Care Compare group NPD
• County of Greene

  dba Greene County Community Health

  • Clinic/Center
  • Catskill, NY
  • NPI 1932281706
  NPD

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1952594723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREENE CO OFFICE BLDG",
            "address_2": "GREENE CO MENTAL HEALTH",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "12413",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE CO OFFICE BLDG",
            "address_2": "GREENE CO MENTAL HEALTH",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "12413",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED",
        "first_name": "STACIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "073710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Brooke Shaul, LCSW
• Amy D. Sherman, BA
• Kristen Silk, DPT
• Randi L Sisco, LCSW
• Marissa Slater
• Helena Marie Spooner, FNP
• Erick Stantial, PTA
• Robin Stapley
• Sarah Danielle Sullivan, NP
• Town of Cairo Ambulance Service

• Clinical Social Worker in Cairo, NY
• Providers in Cairo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.