STACY SIMERA (LISW) – Social Worker, NPI 1548273675

STACY SIMERA (LISW) is a healthcare provider. based in Kent, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I-0008796 (OH). The NPI Number for STACY SIMERA (LISW) is 1548273675

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
STACY SIMERA (LISW)
NPI
1548273675
Phone
(330) 673-5812
Address
190 CURRIE HALL PKWY
Enumeration Date
13 August 2006
Last Update Date
13 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306735812
Graduation Year
1996 (30 years ago)
PAC ID
1850365909
Group Practice PAC ID
5799748919
Professional Enrollment ID
I20040824000675
Address ID
OH442404312KE190XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for STACY SIMERA (LISW)

  • 190, Currie Hall Parkway, Jordan Court Apartments, Kent, Portage County, Ohio, 44240, United States

    KENT, OH 442404312

    Phone: (330) 673-5812

    Fax: (330) 673-7162

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040824000675IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799748919View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical PsychologistOH
Marriage And Family TherapistOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH

Reviews

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Frequently asked questions

How do I look up STACY SIMERA (LISW) by NPI?
Use NPI 1548273675 when you need to reference STACY SIMERA (LISW) in forms, claims, or directories.
Does this profile mean STACY SIMERA (LISW) is currently active?
Yes — STACY SIMERA (LISW) appears active in the national provider directory.
Can you summarize STACY SIMERA (LISW)'s specialty in plain language?
Clinically, the directory lists STACY SIMERA (LISW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place STACY SIMERA (LISW)?
The snapshot lists Kent, Ohio for STACY SIMERA (LISW); download NPPES for the complete set.
How can I contact STACY SIMERA (LISW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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