Individual provider Active NPI

Staci L Alumbaugh, LCSW

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1992036115
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16880 Issued in SC
Practice address
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone
(843) 663-8000
Fax
(843) 663-8166
NPI assigned
Jan 28, 2010
Last updated
Oct 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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 16880 SC Primary

Addresses

Primary practice location

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8294

Other practice location 1

1075 MR Joe White Ave Unit 101
Myrtle Beach, SC 29577-5658
Phone (843) 663-8000

Other practice location 2

3236 Holmestown Rd Unit E1
Myrtle Beach, SC 29588-7495
Phone (843) 663-8000

Other practice location 3

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

Other practice location 4

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

Other practice location 5

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8294

Other names 1

  • Staci Swift Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130507000276 IN Practitioner - Clinical Social Worker 6103063375 Reassigns benefits to 1 organization
I20250117001532 SC Practitioner - Clinical Social Worker 6103063375 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana Medical College, School of Medicine of Purdue University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Network IncGroup PAC ID 1850203977, 95 clinicians

Practice addresses (Care Compare)

7165 Clearvista Way
Gallahue Mental Health Services
Indianapolis, IN 46256-4621
Phone (317) 621-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.82 of 100Reported as group
Quality
96.14
Promoting interoperability
100
Improvement activities
40
Cost
82.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16880SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Clinical CurrentSince Sep 21, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Sep 21, 2024 Accepting new patients
Community Health Network, Inc CurrentSince Oct 2, 2018 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Little River Medical Center, Inc CurrentSince Sep 21, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Sep 21, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Sep 21, 2024 Accepting new patients
Little River Medical Center Inc Clinical CurrentSince Sep 21, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Sep 21, 2024 Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1992036115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8294",
            "fax_number": "843-663-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 MR Joe White Ave Unit 101",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775658",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3236 Holmestown Rd Unit E1",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887495",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3817 Main St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295693017",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7724 N Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295723041",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4303 Live Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295669138",
            "country_code": "US",
            "telephone_number": "843-663-8294",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALUMBAUGH",
        "first_name": "STACI",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "SWIFT",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.