Ms Stacey L Prothro, LCSW is a
Social Worker - Clinical based in Long Beach, California. Ms Stacey L Prothro is licensed to practice in California (license number 29497) and her current practice location is
4101 Mcgowen St Ste 110133, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(310) 962-7126.
NPI number for Ms Stacey L Prothro is 1437323003 and her current mailing address is 4101 Mcgowen St Ste 110-133, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437323003.
Healthcare Provider's Profile
| Full Name | Ms Stacey L Prothro |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 4101 Mcgowen St Ste 110133, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437323003
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Ms Stacey L Prothro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437323003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 29497 (California) | 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 Stacey L Prothro 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 Stacey L Prothro, LCSW
4101 Mcgowen St Ste 110-133,
Long Beach, CA 90808-1898
Ph: (310) 962-1726 | Ms Stacey L Prothro, LCSW
4101 Mcgowen St Ste 110133,
Long Beach, CA 90808-1898
Ph: (310) 962-7126 |
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