Individual provider Active NPI

Stacy Musial, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1972911535
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09923473 Issued in CO
Practice address
1136 E Stuart St Ste 101
Fort Collins, CO 80525-1195
Phone
(970) 236-1866
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09923473 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 101
Fort Collins, CO 80525-1195

Mailing address

1024 Oxford LN Unit 68
Fort Collins, CO 80525-2237
Phone (970) 236-1866

Other practice location 1

503 Remington St Ste 8
Fort Collins, CO 80524-3089
Phone (970) 222-8586

Other identifiers 1

IdentifierTypeStateIssuer
1972911535MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20150710000970 CO Practitioner - Clinical Social Worker 1759693344 Reassigns benefits to 1 organization
Practice locations: Fort Collins, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1024 Oxford LN
Unit 68
Fort Collins, CO 80525-2237
Phone (970) 236-1866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09923473COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Stacy Musial LLC Clinical CurrentSince Jul 14, 2024 Accepting new patients

Locations

1136 E Stuart St
Ste 101
Fort Collins, CO 80525
Phone (573) 639-0112

Interoperability endpoints

  • Direct secure messaging: stacymusial@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1972911535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 OXFORD LN UNIT 68",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252237",
            "telephone_number": "970-236-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-236-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Remington St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243089",
            "country_code": "US",
            "telephone_number": "970-222-8586",
            "fax_number": "970-237-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSIAL",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972911535",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.