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STACY PEDERSON
NPI 1346663796
Case Manager/Care Coordinator in Clovis, CA

Active since January 21, 2014
20 W BEDFORD AVE, CLOVIS, CA 93611(559) 940-0385 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Pederson NPPES

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

STACY PEDERSON (NPI 1346663796) is an individual case manager/care coordinator provider in Clovis, California, licensed in California (IMF 71954 INTERN #) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1346663796
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSTACY PEDERSON
Location Address20 W BEDFORD AVEClovis, CA 93611-3515
Mailing Address20 W Bedford AveClovis, CA 93611-3515 · (559) 940-0385
Phone(559) 940-0385
Sole ProprietorYes
Enumeration DateJanuary 21, 2014
✔ NPI 1346663796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · IMF 71954 INTERN #
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
20 W BEDFORD AVE, Clovis, CA 93611
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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 Stacy Pederson's NPI number?

The NPI number for Stacy Pederson is 1346663796. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Stacy Pederson located?

Stacy Pederson practices at 20 W Bedford Ave, Clovis, CA 93611. The listed phone number is (559) 940-0385.

What is Stacy Pederson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacy Pederson was last updated on January 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.