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STACEY DEE GENTRY
NPI 1871314674
Case Manager/Care Coordinator in Clearlake, CA

Active since October 23, 2024
7000B S CENTER DR, CLEARLAKE, CA 95422(707) 274-9101 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Dee Gentry NPPES

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

STACEY DEE GENTRY (NPI 1871314674) is an individual case manager/care coordinator provider in Clearlake, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1871314674
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSTACEY DEE GENTRY
Location Address7000B S CENTER DRClearlake, CA 95422-8131
Mailing Address15125 Lakeview WayClearlake, CA 95422-8135 · (707) 245-1131
Phone(707) 274-9101
Sole ProprietorNo
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1871314674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
7000B S CENTER DR, Clearlake, CA 95422
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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.

WENDY GATTONI
Peer Specialist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 533-5829
KALI MULLIGAN
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MR. DENNIS BARTON SKINNER MFT
Marriage & Family Therapist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
TANISHA ROJO MEDICAL ASSISTANT
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 274-9101
ANGELA ALFORD-WHITING RN
Registered Nurse
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
RICHARD ALLAN COHN JR.
Counselor (Mental Health)
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MS. STEPHANIE OSTERMAN ODNEY CAADAC
Counselor (Addiction (Substance Use Disorder))
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-6494
ELIZABETH SALCEDO ABRICA MSW
Student in an Organized Health Care Education/Training Program
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090

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 Gentry's NPI number?

The NPI number for Stacey Gentry is 1871314674. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Stacey Gentry located?

Stacey Gentry practices at 7000B S Center Dr, Clearlake, CA 95422. The listed phone number is (707) 274-9101.

What is Stacey Gentry's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacey Gentry was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.