Stacey Lynn Rodriguez, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2327 Issued in KS

Practice address

555 N Woodlawn St
Ste 3105
Wichita, KS 67208-3673

Phone

(316) 651-1230

Fax

(316) 685-0768

NPI assigned

Nov 18, 2005

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

Other names 1

• Stacey Lynn Martens Other name

Medicare fee-for-service enrollment

Enrolled in KS

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

56.65 of 100Reported as group

Quality

0

Improvement activities

40

Cost

72.17

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 and National Provider Directory roles.

• Mental Health America of South Central Kansas, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1689710568
  Medicare reassignment Care Compare group NPD
• Catholic Charities, Inc.

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1386857340
  NPD (past)
• Counseling & Mediation Center Inc

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1013021401
  NPD (past)
• Counseling and Mediation Center, Inc.

  • Professional Counselor
  • Dodge City, KS
  • NPI 1932585577
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1972585495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "STE 3105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083673",
            "telephone_number": "316-651-1230",
            "fax_number": "316-685-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "STE 3105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083673",
            "telephone_number": "316-651-1230",
            "fax_number": "316-685-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "071010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MARTENS",
            "middle_name": "LYNN",
            "credential": "LBSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maritsa Rodriguez, LMSW
• Naujelisse Rodriguez
• Paola Rodriguez
• Paul L Rodriguez, MD
• Shaunda Marie Rodriguez, D.O.
• Sydney Lauren Rodriguez, PT, DPT
• Tarah Rodriguez, LPN
• Miriam Rodriquez, MA
• Heather Leanne Roe, DO
• Vicki L Roe, CRNA

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.