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STACI DETWILER MSW, LCSW
NPI 1073248357
Social Worker - Clinical in Phoenix, AZ

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment
4646 E GREENWAY RD STE 100, PHOENIX, AZ 85032(480) 674-9220(480) 674-9231 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2025, Oct 10, 2024, Jul 20, 2022 (3 updates tracked since 2022).

About Staci Detwiler Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI DETWILER MSW, LCSW (NPI 1073248357) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-22553) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073248357
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACI DETWILERCredential: MSW, LCSW
Location Address4646 E GREENWAY RD STE 100Phoenix, AZ 85032-4805
Mailing Address3334 E Gelding DrPhoenix, AZ 85032-5352
Phone(480) 674-9220
Fax(480) 674-9231
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 20, 2022
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1073248357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-22553
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4646 E GREENWAY RD STE 100, Phoenix, AZ 85032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Staci Detwiler Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527588235
PECOS Enrollment IDI20250225003262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Staci Detwiler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fkl Enterprises, LLC
7.1 mi
Marriage & Family Therapist
8700 E VIA DE VENTURA STE 280
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 37 clinicians in this Medicare group
NPI 1346982782 (480) 674-9220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TERRY PELAEZ LAC, NCC
Counselor (Mental Health)
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (480) 336-3476
TAYLOR ORIBELLO LMFT
Counselor (Mental Health)
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (602) 786-5742
RACHEL BOWLER LAMFT
Marriage & Family Therapist
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (480) 336-3361
BREANNA CHRISTIAN
Social Worker
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (480) 647-9220
ZURYAH BUSTAMANTE
Social Worker (Clinical)
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (480) 336-3665
KATHERINE CROWLEY LICSW
Social Worker (Clinical)
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (602) 573-6621
MELISSA JOY HAHNKE LAC
Counselor (Mental Health)
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (602) 786-5742
FKL ENTERPRISES, LLC
Marriage & Family Therapist
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032
Maricopa County (480) 674-9220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Detwiler's NPI number?

The NPI number for Staci Detwiler is 1073248357. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Staci Detwiler located?

Staci Detwiler practices at 4646 E Greenway Rd Ste 100, Phoenix, AZ 85032. The listed phone number is (480) 674-9220.

What is Staci Detwiler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Staci Detwiler enrolled in Medicare?

Yes. Staci Detwiler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Staci Detwiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Detwiler reassigns Medicare benefits to Fkl Enterprises, LLC (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Detwiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Staci Detwiler accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Staci Detwiler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Staci Detwiler was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.