1952898603 NPI number — MISS STACY FRANCINE STRINGER SOICAL WORKER

Table of content: MISS STACY FRANCINE STRINGER SOICAL WORKER (NPI 1952898603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952898603 NPI number — MISS STACY FRANCINE STRINGER SOICAL WORKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRINGER
Provider First Name:
STACY
Provider Middle Name:
FRANCINE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
SOICAL WORKER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STRINGER
Provider Other First Name:
STACY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
SOCAIL WORKER
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952898603
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1684 BEAUTYMEADOW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROWNSBURG
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46112-7889
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-439-8774
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4330 W 13TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46404-1614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-213-9922
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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