Mrs Stacy Annette Ivery, LCSW is a
Social Worker - Clinical based in Riverside, California. Mrs Stacy Annette Ivery is licensed to practice in California (license number LCS 17495) and her current practice location is
1200 Blazewood St, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 377-1087.
NPI number for Mrs Stacy Annette Ivery is 1871703900 and her current mailing address is 1200 Blazewood St, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871703900.
Healthcare Provider's Profile
| Full Name | Mrs Stacy Annette Ivery |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1200 Blazewood St, Riverside, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871703900
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Stacy Annette Ivery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871703900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | R51A (#070191978) (California) | Primary |
| 1041C0700X | Social Worker - Clinical | LCS 17495 (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. Mrs Stacy Annette Ivery 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 |
|---|
Mrs Stacy Annette Ivery, LCSW
1200 Blazewood St,
Riverside, CA 92507-5909
Ph: (951) 377-1087 | Mrs Stacy Annette Ivery, LCSW
1200 Blazewood St,
Riverside, CA 92507-5909
Ph: (951) 377-1087 |
Reviews and Comments