Stacey Rosas LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STACEY ROSAS LCSW PLLC

Practice address

5224 Moon Shadow Dr
Austin, TX 78735-6015

Phone

(512) 587-1107

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Hilts Rosas, LCSWNPI 1275824591

Title

Owner

Phone

(512) 587-1107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Hilts Rosas, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1275824591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1962035972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 MOON SHADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356015",
            "telephone_number": "512-587-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 MOON SHADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356015",
            "telephone_number": "512-587-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY ROSAS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "HILTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-587-1107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Marie St.Louis, D.P.M.
• Marsha Ann Staats, M.D.
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• Timothy R. Stacey, LPC
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• Stacy Engaged
• Stacy Jane Kluck, L.Ac PLLC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.