STACIE BROWN
NPI 1508235185
Social Worker - Clinical in Marlton, NJ

Q: What is Stacie Brown's NPI number?

The NPI number for Stacie Brown is 1508235185. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Q: What is Stacie Brown's specialty?

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

Q: Is Stacie Brown enrolled in Medicare?

No. Stacie Brown has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Stacie Brown was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 24, 2015Opted out of Medicare · through Jul 1, 2027

54 S MAPLE AVE, MARLTON, NJ 08053(856) 316-8642 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2020, Jul 12, 2019 (2 updates tracked since 2019).

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About Stacie Brown NPPES

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

STACIE BROWN (NPI 1508235185) is an individual clinical provider in Marlton, New Jersey, licensed in New Jersey (44SC05814700) and active in the NPI registry since September 2015. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1508235185

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACIE BROWN

Location Address54 S MAPLE AVEMarlton, NJ 08053-2002

Mailing Address54 S Maple AveMarlton, NJ 08053-2002 · (856) 316-8642

Phone(856) 316-8642

Sole ProprietorNo

Enumeration DateSeptember 24, 2015

Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration

NPPES CertifiedJuly 8, 2020

✔ NPI 1508235185 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

License✔ Licensed in NJ · 44SC05814700

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 ListedSocial WorkerTaxonomy 104100000X · License 44SL06085200 (NJ)

54 S MAPLE AVE, Marlton, NJ 08053

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacie Brown has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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 $61.59 – $185.05

Typical copayment $0.00 (range $15.39 – $46.26)

Most-billed visit code NA

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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 9

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

CHRISTINE M BONAVENTURA LPC

Counselor (Professional)