STACY M. CONDON LCSW
NPI 1639617855
Social Worker - Clinical in Janesville, WI

Q: What is Stacy Condon's NPI number?

The NPI number for Stacy Condon is 1639617855. It was assigned to this individual provider in the NPPES registry on February 8, 2017. The provider is also known as Stacy M. Young.

Q: What is Stacy Condon'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 Stacy Condon was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 08, 2017PECOS EnrolledAccepts Medicare Assignment

903 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-5555(608) 756-0174 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacy M. Condon Lcsw NPPES

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

STACY M. CONDON LCSW (NPI 1639617855) is an individual clinical provider in Janesville, Wisconsin, licensed in Wisconsin (9109-123) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Janesville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639617855

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACY M. CONDONCredential: LCSW

Location Address903 MINERAL POINT AVEJanesville, WI 53548-2970

Mailing Address903 Mineral Point AveJanesville, WI 53548-2970 · (608) 756-5555 · Fax (608) 756-0174

Phone(608) 756-5555

Fax(608) 756-0174

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 8, 2017

Last NPPES UpdateMarch 27, 2019

✔ NPI 1639617855 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 WI · 9109-123

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 130509-121 (WI)

903 MINERAL POINT AVE, Janesville, WI 53548

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Other Names 1

Former Name (1)Stacy M. Young

Secondary Practice Location 1

Location 120 E Court StJanesville, WI 53545-3919 · Phone (608) 755-8923 · Fax (608) 758-5761

Other Identifiers 2

Medicaid1639617855WI

OtherK400361223-000084908WI · Wi Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.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

Stacy M. Condon Lcsw 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 ID6406139617

PECOS Enrollment IDI20170214001921

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 53548 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

KAMELA D. CISNEROS

Counselor (Professional)