STACY RIVERS LICSW
NPI 1245761709
Social Worker - Clinical in Saint Cloud, MN

Q: What is Stacy Rivers's NPI number?

The NPI number for Stacy Rivers is 1245761709. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Q: What is Stacy Rivers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Rivers was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since March 25, 2017PECOS Enrolled

1406 6TH AVE N, SAINT CLOUD, MN 56303(320) 251-2700(320) 656-7106 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2017, Mar 25, 2017 (2 updates tracked since 2017).

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About Stacy Rivers Licsw NPPES

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

STACY RIVERS LICSW (NPI 1245761709) is an individual clinical provider in Saint Cloud, Minnesota, licensed in Minnesota (21751) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245761709

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACY RIVERSCredential: LICSW

Location Address1406 6TH AVE NSaint Cloud, MN 56303-1900

Mailing Address1406 6th Ave NSaint Cloud, MN 56303-1901 · (320) 251-2700 · Fax (320) 656-7115

Phone(320) 251-2700

Fax(320) 656-7106

Sole ProprietorNo

Enumeration DateMarch 25, 2017

Last NPPES UpdateMarch 27, 20172 updates tracked since enumeration

✔ NPI 1245761709 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 MN · 21751

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.

1406 6TH AVE N, Saint Cloud, MN 56303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Rivers Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Stacy Rivers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services

28 mi

General Acute Care Hospital

911 NORTHLAND DR
Princeton, MN 55371

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1922085299 (763) 389-1313

Fairview Express Care

28 mi

Family Medicine

911 NORTHLAND DR
Princeton, MN 55371

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1841673647 (763) 389-7740

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 56303 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

MARY ELIZABETH AMUNDSON APRN, CNP

Pediatrics