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Adelle S Stubblefield , LICSW

Social Worker β€’ Elma, WA

Active NPI 1508234550 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3 Roger Ln
Elma, WA 985419504

Call 3607477414 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

3 Roger Ln

Elma, WA 985419504

Telephone 3607477414
Fax 3606672666
Organization at the Same NPPES Address or Phone
Adelle's Child And Family Services Facility NPI 1700529609

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Adelle Stubblefield has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Adelle Stubblefield as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Elma and Washington

3 active clinicians are listed under Social Worker with a practice address in Elma, WA (2,142 in Washington).

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

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: 2025-05-14
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES ID LMSW-34901

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.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1508234550 (ID)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20201231001490

Enrollment State Jurisdiction

WA

PECOS Control ID

3072853530

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location May 14, 2025

Registered at 3 ROGER LN, ELMA, WA 985419504 (Tel: 3607477414)

πŸ“
Updated Business Mailing Address May 14, 2025

Registered at PO BOX 1329, ELMA, WA 985411329 (Tel: 3607477414)

πŸ“
Updated Practice Location March 29, 2022

Registered at 418 E 1ST ST STE 209, ABERDEEN, WA 985204116 (Tel: 3607477414)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2022

Social Worker (license number reported to NPPES: ID LMSW-34901)

πŸ“
Updated Practice Location December 01, 2020

Registered at 221 W WYNOOCHE AVE UNIT B, MONTESANO, WA 985634401 (Tel: 2084408379)

πŸ“
Updated Business Mailing Address December 01, 2020

Registered at 3 ROGER LN, ELMA, WA 985419504 (Tel: 2089086399)

πŸ‘€
Provider Name / Credentials Updated December 01, 2020

Recorded as ADELLE STUBBLEFIELD, LICSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Counselor (license number reported to NPPES: WA LW60983270)

πŸ“
Updated Practice Location April 25, 2018

Registered at 8100 W EMERALD ST STE 150, BOISE, ID 837049057 (Tel: 2089086399)

πŸ“
Updated Business Mailing Address April 25, 2018

Registered at 8100 W EMERALD ST STE 150, BOISE, ID 837049057 (Tel: 2089086399)

βœ…
NPI Profile Active September 08, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 08, 2015

Registered at 232 2ND ST S, NAMPA, ID 836513709 (Tel: 2084538915)

πŸ“
Business Mailing Address (Initial Record) September 08, 2015

Registered at 232 2ND ST S, NAMPA, ID 836513709 (Tel: 2084538915)

πŸ‘€
Provider Name / Credentials (Initial Record) September 08, 2015

Recorded as ADELLE STUBBLEFIELD, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2015

Social Worker (license number reported to NPPES: ID LMSW-34901)

🟒
Initial NPI Registration & Enumeration September 08, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508234550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2015
Last Update: May 14, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 1329

Elma, WA 985411329

Phone: 3607477414

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.