MS. STACIE BROOKE MATHIS (NPI# 1558918847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558918847 |
| Entity Type | Individual |
| Full Name | MS. STACIE BROOKE MATHIS |
| Credential | LCSW |
| Practice Address |
1200 7th St Nw Childress TX 79201-2627 |
| Mailing Address |
5503 105th St Lubbock TX 79424-8270 |
| Practice Telephone | 8883656271 |
| Mailing Telephone | 8067731179 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
54350 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 54350 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2424 50th St Rm 300, Lubbock, TX 794122561 | 8067432424 |
| Street Address |
1200 7TH ST NW |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511745 | Childress Healthcare | Custodial Care Facility | 1200 7th St Nw, Childress, TX 79201-2627 | 2005-10-07 |
| 1538594064 | Childress County Hospital District | Skilled Nursing Facility | 1200 7th St Nw, Childress, TX 79201-2627 | 2013-09-03 |
| 1669424388 | Childress County Hospital District | Skilled Nursing Facility | 1200 7th St Nw, Childress, TX 79201-2627 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194204586 | Ashley Lauren Rogers | Social Worker | 511 Avenue E Se, Childress, TX 79201-6436 | 2018-08-07 |
| 1952799249 | David Bratton | Social Worker | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750189 | Nikkie Alan Rice | Social Worker | 6034 Laguna Vista Dr, El Paso, TX 79932-4109 | 2020-11-07 |
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1700487071 | Amanda Paige Kendig | Social Worker | 5000 Riverside Dr Bldg 6, Ste 100e, Irving, TX 75039-4316 | 2020-11-03 |
| 1639779333 | Caitlyn Ussery | Social Worker | 5806 Terra Dr, Arlington, TX 76017-4216 | 2020-10-30 |
| 1528668324 | Paragon Counseling and Consulting | Social Worker | 2919 Driftwood Bend Dr, Fresno, TX 77545-6113 | 2020-10-30 |
| 1336749654 | Rachael E Swearingin | Social Worker | 108 Meadowbend Dr, Cedar Hill, TX 75104-3278 | 2020-10-27 |
| 1336749563 | Kelly Jo Rolland | Social Worker | 2904 4th St Ste 102, Longview, TX 75605-5124 | 2020-10-27 |
| 1083214415 | Barbara Jefferson | Social Worker | 1110 Brown Dr, Pflugerville, TX 78660-4908 | 2020-10-26 |
| 1285234716 | Leah Mcnulty | Social Worker | 13722 Office Park Dr Ste B, Houston, TX 77070-2891 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.