STACEY MOYER (LCSW) – Clinical Social Worker, NPI 1558405191

STACEY MOYER (LCSW) is a healthcare provider. based in Pottsville, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW013434 (PA). The NPI Number for STACEY MOYER (LCSW) is 1558405191

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
STACEY MOYER (LCSW)
NPI
1558405191
Phone
(570) 594-6838
Address
402 STONEY RUN RD
Enumeration Date
16 February 2007
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702941905
Graduation Year
1995 (31 years ago)
PAC ID
0042360554
Professional Enrollment ID
I20170615000999
Address ID
PA179013597PO396XXSTXX401
Telehealth
Yes
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

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for STACEY MOYER (LCSW)

  • 402 STONEY RUN RD

    POTTSVILLE, PA 179019115

    Phone: (570) 594-6838

    Type: Mailing

  • 396 S CENTRE ST

    3RD FLOOR

    POTTSVILLE, PA 179013596

    Phone: (570) 594-6838

    Type: Location

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: 2017-06-15

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
I20170615000999IClinical Social WorkerPATBD

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 17901)

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Reviews

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Frequently asked questions

Can I cross-check STACEY MOYER (LCSW) using NPI 1558405191?
NPI 1558405191 belongs to STACEY MOYER (LCSW); compare other details if you need extra assurance.
Is STACEY MOYER (LCSW) shown as active in public data?
Registry records indicate STACEY MOYER (LCSW) maintains an active NPI.
How would a patient describe STACEY MOYER (LCSW)'s focus?
For STACEY MOYER (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is STACEY MOYER (LCSW) located near Pottsville?
STACEY MOYER (LCSW) currently maps to Pottsville, Pennsylvania in this extract.
Can I trust this NPI listing for STACEY MOYER (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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