ALISE YVONNE STULTS
NPI 1255047924
Social Worker - Clinical in Chesapeake, VA

Q: What is Alise Stults's NPI number?

The NPI number for Alise Stults is 1255047924. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Q: What is Alise Stults'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 Alise Stults was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 26, 2023PECOS EnrolledAccepts Medicare Assignment

3804 POPLAR HILL RD UNIT D, CHESAPEAKE, VA 23321(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Alise Yvonne Stults NPPES

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

ALISE YVONNE STULTS (NPI 1255047924) is an individual clinical provider in Chesapeake, Virginia and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255047924

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALISE YVONNE STULTS

Location Address3804 POPLAR HILL RD UNIT DChesapeake, VA 23321-5532

Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958

Phone(855) 284-7483

Fax(617) 807-0958

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1255047924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

3804 POPLAR HILL RD UNIT D, Chesapeake, VA 23321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alise Yvonne Stults 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 ID5294195210

PECOS Enrollment IDI20230721001003

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23321 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 12

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

MATTHEW WADE

Counselor (Professional)