Nicole Rae Stalker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW09927304 Issued in CO

Practice address

2226 Friar Tuck CT
Fort Collins, CO 80524-2287

Phone

(949) 257-8711

NPI assigned

Apr 6, 2023

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

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1962197830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 FRIAR TUCK CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242287",
            "telephone_number": "949-257-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 FRIAR TUCK CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242287",
            "telephone_number": "949-257-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09927304",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Stahl, MS PT
• Cameron Michael Stahl, DPT
• Jason Staires, LPC, CAS, MA
• Shanon Aurora Staires, B.A.
• Erin Michele Stalker, FNP
• Terrie Elaine Stallings, BS, CAC II
• Theron Neil Stallings, D.C.
• Melanie Stalzer, RN
• Jessica Stamper, LMT
• Darcy Lynn Stamps, MA, LPC

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.