MRS. STACY LYNN GARTON


Address: 919 E Jefferson Blvd, Suite 401, South Bend, IN 46617-3112
Phone: 5742874197

MRS. STACY LYNN GARTON (NPI# 1114104098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114104098
Entity Type Individual
Full Name MRS. STACY LYNN GARTON
Other Name MISS STACY LYNN MAYNER
Credential LCSW
Practice Address 919 E Jefferson Blvd
Suite 401
South Bend
IN 46617-3112
Mailing Address 3516 E Jefferson Blvd
Suite 401
South Bend
IN 46615-3034
Practice Telephone 5742874197
Practice Fax Number 5742874393
Mailing Telephone 5742874197
Mailing Fax Number 5742874393
Enumeration Date 2008-01-23
Last Update Date 2016-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 33002224A IN Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
34005864A IN Behavioral Health & Social Service Providers

Office Location

Street Address 919 E JEFFERSON BLVD
SUITE 401
City SOUTH BEND
State IN
Zip Code 46617-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750380325 Robert Lloyd Devetski Internal Medicine 919 E Jefferson Blvd, Suite 403, South Bend, IN 46617-3112 2005-07-18
1790199529 Megan Harrity Psychologist 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 2014-06-19
1104183474 Michele Kari Gross Audiologist-Hearing Aid Fitter 919 E Jefferson Blvd, Ste.104, South Bend, IN 46617-3112 2012-04-11
1679830947 Brooke K. Karnes Hearing Instrument Specialist 919 E Jefferson Blvd, Ste.104, South Bend, IN 46617-3112 2012-04-11
1477838704 Josephine Ann Dickinson Psychologist 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 2011-10-18
1447421631 Michael D. Rader, D.d.s., Inc. Dentist 919 E Jefferson Blvd, Suite 408, South Bend, IN 46617-3112 2008-03-17
1194940528 Rita Donley Psychologist 919 E Jefferson Blvd, Suite 402, South Bend, IN 46617-3112 2007-04-13
1790909000 Paul Michael Mcleod Dds, Inc. Dentist 919 E Jefferson Blvd, Suite Ll02, South Bend, IN 46617-3112 2007-04-11
1730225848 Memorial Lighthouse Imaging LLC Radiology 919 E Jefferson Blvd, South Bend, IN 46617-3112 2007-01-29
1891841383 Cancer Society of St. Joseph County Voluntary or Charitable 919 E Jefferson Blvd, Suite 401, South Bend, IN 46617-3112 2007-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508330754 Emily Wynn Sussman Social Worker 227 N Dixie Way Ste 125, South Bend, IN 46637-3385 2019-01-21
1326414707 Patrice Ivory-butler Social Worker 1615 N Kenmore St, South Bend, IN 46628-4256 2015-08-19
1043622798 Susan Gail Sandock Social Worker 919 E Jefferson Blvd Ste 401, South Bend, IN 46617-3117 2014-05-29
1902248032 Melissa Ann Sluiter Social Worker 3901 Addison St, South Bend, IN 46614-2603 2013-07-17
1750642732 Rosemary Cox Social Worker 534 N Michigan St, South Bend, IN 46601-1032 2012-06-06
1760753909 Jody L. Hughes LLC Social Worker 202 S. Michigan St, Suite 875, South Bend, IN 46601-2021 2012-01-19
1538441571 Heidi Wringer, Lcsw Moving Forward Counseling Services Social Worker 227 N Dixie Way Ste 130, South Bend, IN 46637-3300 2011-09-15
1861788879 Lynne Walker Social Worker 315 W Jefferson Blvd, South Bend, IN 46601-1512 2011-06-28
1801192026 Wetzel Therapy Inc Social Worker 17903 State Road 23, Suite #3, South Bend, IN 46635-1642 2011-02-05
1659695542 Marianne V West Social Worker 219 N Dixie Way Ste 135, South Bend, IN 46637-3372 2010-03-21
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Competitor

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City SOUTH BEND
Zip Code 46617

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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