Stacey Charlene Smith, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dodson, Louisiana. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mental Health Specialty Group Pa and her current practice location is
4366 Highway 167, Dodson, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 302-1053.
Stacey Charlene Smith is licensed to practice in Georgia (license number CSW006018) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356872808.
Healthcare Provider's Profile
| Full Name | Stacey Charlene Smith |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 14 Years |
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| Location | 4366 Highway 167, Dodson, Louisiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stacey Charlene Smith graduated from medical school in 2012
NPI Data:
- NPI Number: 1356872808
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 06/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 4880933704
- Enrollment ID: I20240904003713
Medical Identifiers
Medical identifiers for Stacey Charlene Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356872808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 11176 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW006018 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mental Health Specialty Group Pa | 8921466228 | 618 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Charlene Smith allows following entities to bill medicare on her behalf.
| Entity Name | Albany Area Community Svc. Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063464212 PECOS PAC ID: 9032190483 Enrollment ID: O20040601000373 |
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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. Stacey Charlene Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Stacey Charlene Smith, LCSW 4366 Highway 167, Dodson, LA 71422-3257 Ph: (318) 302-1053 | Stacey Charlene Smith, LCSW 4366 Highway 167, Dodson, LA 71422-3257 Ph: (318) 302-1053 |
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