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MS. STACIE DEGENEFFE A.M.
NPI 1912076746
Social Worker - Clinical in Emeryville, CA

Active since November 07, 2006Opted out of Medicare · through Apr 1, 2028
1240 POWELL ST STE 2C, EMERYVILLE, CA 94608(510) 384-2088 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stacie Degeneffe A.m. NPPES

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

MS. STACIE DEGENEFFE A.M. (NPI 1912076746) is an individual clinical provider in Emeryville, California, licensed in California (LCS 22418) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1912076746
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACIE DEGENEFFECredential: A.M.
Location Address1240 POWELL ST STE 2CEmeryville, CA 94608
Mailing Address2633 Acton StBerkeley, CA 94702-2348 · (510) 384-2088 · Fax (510) 384-2088
Phone(510) 384-2088
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateOctober 8, 2018
✔ NPI 1912076746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCS 22418✔ Licensed in NY · 076823
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.
1240 POWELL ST STE 2C, Emeryville, CA 94608
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Secondary Practice Location 1

Location 1378 Van Buren Ave, #210Oakland, CA 94610-4849 · Phone (510) 384-2088 · Fax (510) 384-2088

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Stacie Degeneffe A.m. 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LYNN MARIE MARIE LUMIERE MFT
Counselor (Mental Health)
1240 POWELL ST STE 2C
EMERYVILLE, CA 94608
Alameda County (510) 287-8922

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 Stacie Degeneffe's NPI number?

The NPI number for Stacie Degeneffe is 1912076746. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Stacie Degeneffe located?

Stacie Degeneffe practices at 1240 Powell St Ste 2C, Emeryville, CA 94608. The listed phone number is (510) 384-2088.

What is Stacie Degeneffe's specialty?

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

Is Stacie Degeneffe enrolled in Medicare?

No. Stacie Degeneffe has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacie Degeneffe was last updated on October 8, 2018. 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.