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STACEY WALLER LSW
NPI 1730581349
Social Worker in Burlington City, NJ

Active since September 25, 2014PECOS EnrolledAccepts Medicare Assignment
116 W BROAD ST, BURLINGTON CITY, NJ 08016(609) 386-0650(609) 386-0652 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Waller Lsw NPPES

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

STACEY WALLER LSW (NPI 1730581349) is an individual social worker in Burlington City, New Jersey, licensed in New Jersey (44SL05147700) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1730581349
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTACEY WALLERCredential: LSW
Location Address116 W BROAD STBurlington City, NJ 08016-1410
Mailing Address116 W Broad StBurlington City, NJ 08016-1410 · (609) 386-0650 · Fax (609) 386-0652
Phone(609) 386-0650
Fax(609) 386-0652
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 25, 2014
✔ NPI 1730581349 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 NJ · 44SL05147700
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.
116 W BROAD ST, Burlington City, NJ 08016
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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

Stacey Waller Lsw 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 ID6709002330
PECOS Enrollment IDI20220502001206
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 Stacey Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stable Community Services
0.2 mi
Community/Behavioral Health
513 HIGH ST
Burlington City, NJ 08016
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1568885663 (609) 386-0650

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

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

STABLE COMMUNITY SERVICES
Clinic/Center (Multi-Specialty)
116 W BROAD ST
BURLINGTON CITY, NJ 08016
Burlington County (609) 386-0650

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 Stacey Waller's NPI number?

The NPI number for Stacey Waller is 1730581349. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Where is Stacey Waller located?

Stacey Waller practices at 116 W Broad St, Burlington City, NJ 08016. The listed phone number is (609) 386-0650.

What is Stacey Waller's specialty?

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

Is Stacey Waller enrolled in Medicare?

Yes. Stacey Waller 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 Stacey Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Waller reassigns Medicare benefits to Stable Community Services (Burlington City, NJ). 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 Stacey Waller'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 Stacey Waller was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.