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Michael Scott Stanley , LSW, CDCA

Social Worker β€’ Gallipolis, OH

Active NPI 1417437039 Individual Practitioner Male Practitioner
Practice location in NPPES

254 Pinecrest Dr
Gallipolis, OH 456311347

Call 7405784824 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

254 Pinecrest Dr

Gallipolis, OH 456311347

Telephone 7405784824
Fax 7405784821
Organization at the Same NPPES Address or Phone
Smith Family Healthcare, Llp Facility NPI 1750812293

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gallipolis and Ohio

16 active clinicians are listed under Social Worker with a practice address in Gallipolis, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gallipolis

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2207362

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH 167042
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
320087 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Kimberly Brumfield , FNP-C

Nurse Practitioner - Family

NPI 1972992196

Family Nurse Practitioner (Certified)

Dianna Smith , MSN, CNP, FNP, PMHNP

Nurse Practitioner - Family

NPI 1669440723

Master of Science in Nursing, Certified Nurse Practitioner, Family Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Kayla Zerkle , FNP-BC

Nurse Practitioner - Family

NPI 1982159364

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 09, 2022

Recorded as MICHAEL STANLEY, LSW, CDCA

πŸ“
Updated Practice Location January 11, 2022

Registered at 254 PINECREST DR, GALLIPOLIS, OH 456311347 (Tel: 7405784824)

πŸ“
Updated Business Mailing Address January 11, 2022

Registered at 254 PINECREST DR, GALLIPOLIS, OH 456311347 (Tel: 7405784824)

βœ…
NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2018

Registered at 995 JACKSON PIKE STE 102, GALLIPOLIS, OH 456312621 (Tel: 7405784824)

πŸ“
Business Mailing Address (Initial Record) August 14, 2018

Registered at 995 JACKSON PIKE STE 102, GALLIPOLIS, OH 456312621 (Tel: 7405784824)

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2018

Recorded as MICHAEL STANLEY, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Counselor (license number reported to NPPES: OH 167042)

🟒
Initial NPI Registration & Enumeration August 14, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417437039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: March 09, 2022
Sole Proprietor: No

Mailing Address

254 Pinecrest Dr

Gallipolis, OH 456311347

Phone: 7405784824

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.