Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124495098 Individual Practitioner Female Practitioner

Staci Jo Carpenter , LISW

Social Worker - Clinical • Grayson, KY

Professional Overview & Biography Verified Profile Summary

Staci Carpenter, LISW is a registered healthcare professional specializing in Social Worker - Clinical in Grayson, KY. Practice services are available at 13399 STATE HIGHWAY 2 under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13399 State Highway 2

Grayson, KY 411438640

Telephone 6067133853
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Grayson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Grayson, KY (4170 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
13 13 $434.62 $103.85

Medical Specialties & State Licenses

CMS Verified: 2026-02-02
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I.2607648

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License KY 7394

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0334428 (OH)
Medicaid State Provider ID
7100620870 (KY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

30 Historical Events
📍
Updated Practice Location February 02, 2026

Registered at 13399 STATE HIGHWAY 2, GRAYSON, KY 411438640 (Tel: 6067133853)

📍
Updated Business Mailing Address February 02, 2026

Registered at 13399 STATE HIGHWAY 2, GRAYSON, KY 411438640 (Tel: 6067133853)

👤
Provider Name / Credentials Updated February 02, 2026

Recorded as STACI CARPENTER, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2026

Social Worker (License #7394 in KY)

📍
Updated Practice Location February 22, 2024

Registered at 840 INTERSTATE DR, GRAYSON, KY 411431768 (Tel: 8662331955)

📍
Updated Business Mailing Address February 22, 2024

Registered at PO BOX 790, ASHLAND, KY 411050790 (Tel: 6063298588)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2024

Social Worker (License #S.1903345 in OH)

📍
Updated Practice Location September 18, 2023

Registered at 419 VERNON ST, IRONTON, OH 456381637 (Tel: 7403578615)

📍
Updated Business Mailing Address September 18, 2023

Registered at 120 W MAIN ST, CIRCLEVILLE, OH 431131654 (Tel: 7403578615)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Social Worker (License #7394 in KY)

📍
Updated Practice Location March 30, 2023

Registered at 1007 N 2ND ST, IRONTON, OH 456381235 (Tel: 7404427045)

📍
Updated Business Mailing Address March 30, 2023

Registered at 13399 STATE HIGHWAY 2, GRAYSON, KY 411438640 (Tel: 6066897327)

📍
Updated Practice Location September 08, 2021

Registered at 1610 28TH ST, PORTSMOUTH, OH 456622641 (Tel: 7403543135)

📍
Updated Business Mailing Address September 08, 2021

Registered at 1100 SHAWNEE RD, LIMA, OH 458053529 (Tel: 4199992010)

📍
Updated Practice Location January 20, 2021

Registered at 178 PRIVATE ROAD 19423, SOUTH POINT, OH 456808831 (Tel: 7402632626)

📍
Updated Business Mailing Address January 20, 2021

Registered at 178 PRIVATE ROAD 19423, SOUTH POINT, OH 456808831 (Tel: 7402632626)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Social Worker (License #S.1903345 in OH)

📍
Updated Practice Location July 09, 2020

Registered at 729 6TH ST, PORTSMOUTH, OH 456624030 (Tel: 7408768290)

📍
Updated Business Mailing Address July 09, 2020

Registered at 729 6TH ST, PORTSMOUTH, OH 456624030 (Tel: 7408768290)

👤
Provider Name / Credentials Updated July 09, 2020

Recorded as STACI CARPENTER, MSW, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Social Worker (License #7394 in KY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Social Worker (License #S.1903345 in OH)

📍
Updated Practice Location February 07, 2019

Registered at 411 COURT ST, PORTSMOUTH, OH 456623932 (Tel: 7403546685)

👤
Provider Name / Credentials Updated February 07, 2019

Recorded as STACI CARPENTER, MSW, CSW

NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2015

Registered at 1701 CENTRAL AVE, SUITE 250, ASHLAND, KY 411017767 (Tel: 6063935029)

📍
Updated Business Mailing Address August 27, 2015

Registered at 13399 STATE HIGHWAY 2, GRAYSON, KY 411438640 (Tel: 6063935129)

👤
Provider Name / Credentials Updated August 27, 2015

Recorded as STACI MENIX, MSW, CSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Social Worker (License #7394 in KY)

🟢
Initial NPI Registration & Enumeration August 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124495098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2015
Last Update: February 02, 2026
Sole Proprietor: No

Mailing Address

13399 State Highway 2

Grayson, KY 411438640

Phone: 6067133853

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.