MRS. STACI JO CARPENTER LISW
NPI 1124495098
Social Worker - Clinical in Grayson, KY

Active since August 27, 2015
13399 STATE HIGHWAY 2, GRAYSON, KY 41143(606) 713-3853 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Jan 20, 2026, Mar 30, 2023 and 5 more (8 updates tracked since 2019).

About Mrs. Staci Jo Carpenter Lisw NPPES

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

MRS. STACI JO CARPENTER LISW (NPI 1124495098) is an individual clinical provider in Grayson, Kentucky, licensed in Ohio (I.2607648) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1124495098
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STACI JO CARPENTERCredential: LISW
Location Address13399 STATE HIGHWAY 2Grayson, KY 41143-8640
Mailing Address13399 State Highway 2Grayson, KY 41143-8640 · (606) 713-3853
Sole ProprietorNo
Enumeration DateAugust 27, 2015
Last NPPES UpdateFebruary 2, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1124495098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.2607648
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 7394 (KY)
13399 STATE HIGHWAY 2, Grayson, KY 41143

Other Names 1

Former Name (1)Staci Menix Csw

Other Identifiers 2

Medicaid0334428OH
Medicaid7100620870KY

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
13399 STATE HIGHWAY 2
GRAYSON, KY 41143

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 Carpenter's NPI number?

The NPI number for Staci Carpenter is 1124495098. It was assigned to this individual provider in the NPPES registry on August 27, 2015. The provider is also known as Staci Menix Csw.

Where is Staci Carpenter located?

Staci Carpenter practices at 13399 State Highway 2, Grayson, KY 41143. The listed phone number is (606) 713-3853.

What is Staci Carpenter's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Carpenter was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.