STEPHANIE MOONEYHAM (LCSW) – Clinical Social Worker, NPI 1225808348

STEPHANIE MOONEYHAM (LCSW) is a healthcare provider. based in Round rock, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 69679 (TX). The NPI Number for STEPHANIE MOONEYHAM (LCSW) is 1225808348

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MOONEYHAM (LCSW)
NPI
1225808348
Phone
(901) 289-5906
Address
1 CHISHOLM TRAIL RD STE 225
Enumeration Date
9 January 2024
Last Update Date
9 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122700272
Graduation Year
2020 (6 years ago)
PAC ID
7810436771
Group Practice PAC ID
6901224245
Professional Enrollment ID
I20240823001896
Address ID
TX787598347AU8500XEXPY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for STEPHANIE MOONEYHAM (LCSW)

  • 1 CHISHOLM TRAIL RD STE 225

    ROUND ROCK, TX 786815106

    Phone: (901) 289-5906

    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: 2024-08-23

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
I20240823001896IClinical Social WorkerTXTBD

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 78681)

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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: 6901224245View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE MOONEYHAM (LCSW)?
STEPHANIE MOONEYHAM (LCSW) — NPI 1225808348 — is the standard way to identify this listing.
Is STEPHANIE MOONEYHAM (LCSW) still practicing?
STEPHANIE MOONEYHAM (LCSW) is currently listed as active in the public NPI registry.
What taxonomy line describes STEPHANIE MOONEYHAM (LCSW)?
For research purposes, treat STEPHANIE MOONEYHAM (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE MOONEYHAM (LCSW)?
STEPHANIE MOONEYHAM (LCSW)'s geographic hint is Round Rock, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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