1. Home
  2. Directory
  3. Missouri
  4. Lebanon
  5. Social Worker
  6. NPI Profile

TALLIE L STAFFORD LMSW
NPI 1417665308
Social Worker in Lebanon, MO

Active since November 09, 2022PECOS Enrolled
104 CRESCENT DR, LEBANON, MO 65536(417) 588-5885 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tallie L Stafford Lmsw NPPES

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

TALLIE L STAFFORD LMSW (NPI 1417665308) is an individual social worker in Lebanon, Missouri, licensed in Missouri (2022044555) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417665308
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTALLIE L STAFFORDCredential: LMSW
Location Address104 CRESCENT DRLebanon, MO 65536-3301
Mailing Address104 Crescent DrLebanon, MO 65536-3301 · (417) 588-5885
Phone(417) 588-5885
Sole ProprietorNo
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1417665308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MO · 2022044555
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
104 CRESCENT DR, Lebanon, MO 65536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tallie L Stafford Lmsw 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 Reassignment

Medicare enrollment records show Tallie Stafford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lenz Lpc LLC
139 mi
Professional
140 CLIFF CAVE RD STE 200
Saint Louis, MO 63129
  • Reassigned Medicare billing, Missouri enrollment
  • 18 clinicians in this Medicare group
NPI 1700467776 (314) 683-9105

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

CHARLOTTE A MOORE LPC
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SARAH LYNN BURTON PHD
Psychologist (Clinical)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHANNON LEE WILLIAMS M.A., P.L.P.C.
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
CALMING THE STORM
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
MISSOURI BEHAVIORAL HEALTH COUNSELING ASSOCIATES
Psychologist (Clinical)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 664-4584
MR. JERAMIE SOUSA GORMAN PLPC
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHERRITA M ALLEN
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHEILA JEAN BUIE LPC
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885

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 Tallie Stafford's NPI number?

The NPI number for Tallie Stafford is 1417665308. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Where is Tallie Stafford located?

Tallie Stafford practices at 104 Crescent Dr, Lebanon, MO 65536. The listed phone number is (417) 588-5885.

What is Tallie Stafford's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tallie Stafford enrolled in Medicare?

Yes. Tallie Stafford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tallie Stafford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tallie Stafford reassigns Medicare benefits to Lenz Lpc LLC (Saint Louis, MO). 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 Tallie Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tallie Stafford accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Tallie Stafford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tallie Stafford was last updated on November 9, 2022. 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.