STACEY LYNN RODRIGUEZ (NPI# 1972585495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972585495 |
| Entity Type | Individual |
| Full Name | STACEY LYNN RODRIGUEZ |
| Other Name | STACEY LYNN MARTENS |
| Credential | LSCSW |
| Practice Address |
555 N Woodlawn St Ste 3105 Wichita KS 67208-3673 |
| Practice Telephone | 3166511230 |
| Practice Fax Number | 3166850768 |
| Mailing Telephone | 3166511230 |
| Mailing Fax Number | 3166850768 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2327 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS PROVIDER NUMBER | 071010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588611974 | Stacey Rodriguez | Registered Nurse | 10460 Vista Del Sol Dr, El Paso, TX 79925-7947 | 2006-05-30 |
| 1962980458 | Stacey V Rodriguez | Counselor | 1600 Montana Ave, El Paso, TX 79902-5622 | 2018-08-06 |
| 1649636200 | Stacey Lynn Rodriguez | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2016-01-12 |
| 1942566351 | Stacey Denell Rodriguez | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-10 |
| Street Address |
555 N WOODLAWN ST STE 3105 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816284 | Roberta Rose Schouten | Marriage & Family Therapist | 555 N Woodlawn St, Wichita, KS 67208-3646 | 2017-08-07 |
| 1477004380 | Mental Health Association of South Central Kansas | Case Manager/Care Coordinator | 555 N Woodlawn St, Suite 3105, Wichita, KS 67208-3646 | 2016-10-17 |
| 1720458409 | Tahnoqua Rutledge | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2015-10-07 |
| 1144697434 | Valerie Kreger | Marriage & Family Therapist | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2015-08-21 |
| 1295101954 | Miquetta L White | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2015-08-18 |
| 1831572528 | Roxanne Franklin | Social Worker | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2015-06-30 |
| 1669882981 | Shawna Allen | Counselor | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2014-05-08 |
| 1609218544 | Paula L Schaefer | Marriage & Family Therapist | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2013-07-19 |
| 1609117738 | Suzanne R Devaughn | Social Worker | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2013-03-14 |
| 1770882433 | Andrea Holt | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| Find all providers in WICHITA | ||||
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| 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.