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Deactivated NPI 1417984683 Deactivated / Inactive NPI Male Practitioner

Stacey Clure Wolfe , LCSW

Social Worker • Milan, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Wolfe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2006
NPI Deactivation Date November 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Stacey Wolfe, LCSW was a registered Social Worker practicing in Milan, TN. Throughout an active medical career spanning 17 years, Stacey Wolfe provided care at the practice location at 5019 LIBERTY ST until profile deactivation on 2023-11-01.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5019 Liberty St

Milan, TN 383583484

Telephone 7316869383
Fax 7316869384
Associated Practice Facility / Clinic
🏢 S/s Wolfe Counseling, Llc Facility NPI 1952600538

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Milan, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Milan, TN (2071 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
76 25 $117.00 $53.08

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License TN 1189

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Renetta Albea , LCSW

Social Worker - Clinical

NPI 1073796231

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2016

Registered at 5019 LIBERTY ST, MILAN, TN 383583484 (Tel: 7316869383)

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Updated Business Mailing Address December 08, 2016

Registered at 8059 S 1ST ST, MILAN, TN 383586837 (Tel: 7316869383)

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Provider Name / Credentials Updated December 08, 2016

Recorded as STACEY WOLFE, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Social Worker (License #1189 in TN)

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Initial NPI Registration & Enumeration June 26, 2006

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: 1417984683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2006
Last Update: December 08, 2016
Deactivation Date: November 01, 2023

Mailing Address

8059 S 1st St

Milan, TN 383586837

Phone: 7316869383

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.