ANTOINETTE STALLWORTH-WOODARD LMFT
NPI 1861738767
Marriage & Family Therapist in Concord, CA

Active since December 20, 2012PECOS Enrolled
1848 WILLOW PASS RD STE 115, CONCORD, CA 94520(916) 362-8292 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 2, 2024, Dec 1, 2021, Dec 18, 2020 and 1 more (4 updates tracked since 2018).

About Antoinette Stallworth-woodard Lmft NPPES

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

ANTOINETTE STALLWORTH-WOODARD LMFT (NPI 1861738767) is an individual marriage & family therapist in Concord, California, licensed in California (LMFT106371) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861738767
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANTOINETTE STALLWORTH-WOODARDCredential: LMFT
Location Address1848 WILLOW PASS RD STE 115Concord, CA 94520-2591
Mailing Address24077 State Highway 49Nevada City, CA 95959-8519 · (530) 265-9057
Sole ProprietorNo
Enumeration DateDecember 20, 2012
Last NPPES UpdateAugust 2, 20244 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1861738767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT106371
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1848 WILLOW PASS RD STE 115, Concord, CA 94520

Other Names 1

Former Name (1)Antoinette Rucker Antoinette Rucker

Secondary Practice Locations 4

Location 124077 State Highway 49Nevada City, CA 95959 · Phone (530) 265-9057
Location 27818 Bar Du LnSacramento, CA 95829-9469 · Phone (916) 362-8292
Location 39200 Sweet Acacia WaySacramento, CA 95829-8735 · Phone (916) 362-8292
Location 43336 Bradshaw RdSacramento, CA 95827-2615 · Phone (916) 362-8292

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Antoinette Stallworth-woodard Lmft 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.

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 Antoinette Stallworth-woodard's NPI number?

The NPI number for Antoinette Stallworth-woodard is 1861738767. It was assigned to this individual provider in the NPPES registry on December 20, 2012. The provider is also known as Antoinette Rucker Antoinette Rucker.

Where is Antoinette Stallworth-woodard located?

Antoinette Stallworth-woodard practices at 1848 Willow Pass Rd Ste 115, Concord, CA 94520. The listed phone number is (916) 362-8292.

What is Antoinette Stallworth-woodard's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Antoinette Stallworth-woodard enrolled in Medicare?

Yes. Antoinette Stallworth-woodard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antoinette Stallworth-woodard was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.