✓ Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical (1041C0700X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

DENISE MARIE STUMACHER, lcsw (NPI #1174648711)

Social Worker, Clinical • CROSS RIVER, NY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1174648711
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
19 NORTH SALEM ROAD, CROSS RIVER, NY, 10518
Official NPPES Practice Location
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174648711 (DENISE MARIE STUMACHER, lcsw) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1174648711 (NPI-1 Individual Practitioner)
Provider / Legal NameDENISE MARIE STUMACHER, lcsw
Plain-English SpecialtyLicensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
NUCC Code: 1041C0700X (Social Worker, Clinical)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address19 NORTH SALEM ROAD, CROSS RIVER, NY, 10518
Practice Telephone / FaxTel: (203) 241-4885
Administrative Mailing Address34 BARRY AVE, RIDGEFIELD, CT, 06877-4425
Enumeration & Last SyncEnumerated: 2007-03-20 | CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19 NORTH SALEM ROAD, CROSS RIVER, NY, 10518

🗺️ Open in Google Maps 🏥 More Providers in CROSS RIVER

Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DENISE MARIE STUMACHER, lcsw)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1041C0700X — Social Worker, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
State: NY | License: 069668-1 | Primary: Yes (Primary)
1041C0700X — Social Worker, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
State: CT | License: 005894 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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