Ms Stacie Brooke Mathis, LCSW is a
Social Worker - Clinical based in Childress, Texas. Ms Stacie Brooke Mathis is licensed to practice in Texas (license number 54350) and her current practice location is
1200 7th St Nw, Childress, Texas. She can be reached at her office (for appointments etc.) via phone at
(888) 365-6271.
NPI number for Ms Stacie Brooke Mathis is 1558918847 and her current mailing address is 5503 105th St, Lubbock, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558918847.
Healthcare Provider's Profile
Full Name | Ms Stacie Brooke Mathis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1200 7th St Nw, Childress, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558918847
- Provider Enumeration Date: 08/21/2019
- Last Update Date: 12/14/2019
Medical Identifiers
Medical identifiers for Ms Stacie Brooke Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558918847 | NPI | - | NPPES |
54350 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 54350 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Stacie Brooke Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Stacie Brooke Mathis, LCSW 5503 105th St, Lubbock, TX 79424-8270 Ph: (806) 773-1179 | Ms Stacie Brooke Mathis, LCSW 1200 7th St Nw, Childress, TX 79201-2627 Ph: (888) 365-6271 |
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