MS. EDIE LAINE STONE ACSW
NPI 1255485751
Social Worker - Clinical in Merced, CA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
936 WEST MAIN ST., MERCED, CA 95340(209) 383-5200(209) 383-5700 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Edie Laine Stone Acsw NPPES

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

MS. EDIE LAINE STONE ACSW (NPI 1255485751) is an individual clinical provider in Merced, California, licensed in California (36992) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255485751
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. EDIE LAINE STONECredential: ACSW
Location Address936 WEST MAIN ST.Merced, CA 95340
Mailing Address936 West Main St.Merced, CA 95340 · (209) 383-5200 · Fax (209) 383-5700
Fax(209) 383-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 6, 2014
✔ NPI 1255485751 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
Licenses✔ Licensed in CA · 36992✔ Licensed in OR · 4874-LCSW
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License RC00041301 (WA)
936 WEST MAIN ST., Merced, CA 95340

Other Identifiers 2

OtherR162174OR · Medicare Ptan
Medicaid600646725OR

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

Ms. Edie Laine Stone Acsw 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 ID3971770272
PECOS Enrollment IDI20191112001704
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 Edie Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
125 E 18TH ST
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Livingston Community Health
  • 38 clinicians in this Medicare group

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 95340 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Edie Stone's NPI number?

The NPI number for Edie Stone is 1255485751. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Edie Stone located?

Edie Stone practices at 936 West Main St., Merced, CA 95340. The listed phone number is (209) 383-5200.

What is Edie Stone's specialty?

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

Is Edie Stone enrolled in Medicare?

Yes. Edie Stone 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 Edie Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edie Stone reassigns Medicare benefits to Lumira Healthcare (Merced, CA). 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 Edie Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edie Stone was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.