Stacy Denise Headd, MSW

Individual provider Active NPI Case Manager/Care Coordinator · Kansas City, KS

NPI 1972861946 · NPPES record last updated Apr 27, 2012

Key facts

NPI
1972861946
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2845 N 39TH St
Kansas City, KS 66104-2504
Phone
(913) 219-8796
Fax
(816) 734-1485
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
A Headd of Service, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2845 N 39TH St
Kansas City, KS 66104-2504

Mailing address

PO Box 172033
Kansas City, KS 66117-1033
Phone (913) 219-8796

Other providers in Kansas City, KS

All providers in Kansas City, KS · Case Manager/Care Coordinator in Kansas

Sources for this page

Verify at the official NPI Registry.