Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417437039 Individual Practitioner Male Practitioner

Michael Scott Stanley , LSW, CDCA

Social Worker • Gallipolis, OH

Professional Overview & Biography Verified Profile Summary

Michael Stanley, LSW, CDCA is a registered healthcare professional specializing in Social Worker in Gallipolis, OH. Practice services are available at 254 PINECREST DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

254 Pinecrest Dr

Gallipolis, OH 456311347

Telephone 7405784824
Fax 7405784821
Associated Practice Facility / Clinic
🏢 Smith Family Healthcare, Llp Facility NPI 1750812293

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Gallipolis, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Gallipolis, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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

State License OH 167042

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
320087 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Summer Wickersham , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023658515

Chemical Dependency Counselor Assistant

Paulette Flinner , FNP-C

Nurse Practitioner - Family

NPI 1033601851

Family Nurse Practitioner (Certified)

Melody Shupe

Social Worker - Clinical

NPI 1083340723
Cherish Soles , RN

Registered Nurse - General Practice

NPI 1124632427

Registered Nurse

Dora Blankenship

Counselor - Addiction (Substance Use Disorder)

NPI 1174119713
Brittani Smith , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1215560065

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated March 09, 2022

Recorded as MICHAEL STANLEY, LSW, CDCA

📍
Updated Practice Location January 11, 2022

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

📍
Updated Business Mailing Address January 11, 2022

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

NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2018

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

📍
Updated Business Mailing Address August 14, 2018

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

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as MICHAEL STANLEY, CDCA

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

Counselor (License #167042 in OH)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 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

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.