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TINA STANLEY L.C.S.W.
NPI 1932439403
Social Worker - Clinical in Sebastopol, CA

Active since January 06, 2010Opted out of Medicare · through Jul 1, 2027
934 GAYDEE CT, SEBASTOPOL, CA 95472(707) 829-8443 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Stanley L.c.s.w. NPPES

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

TINA STANLEY L.C.S.W. (NPI 1932439403) is an individual clinical provider in Sebastopol, California, licensed in California (LCS 11453) and active in the NPI registry since January 2010. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932439403
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA STANLEYCredential: L.C.S.W.
Location Address934 GAYDEE CTSebastopol, CA 95472-4611
Mailing Address934 Gaydee CtSebastopol, CA 95472-4611 · (707) 829-8443
Phone(707) 829-8443
Sole ProprietorYes
Enumeration DateJanuary 6, 2010
✔ NPI 1932439403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS 11453
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.
934 GAYDEE CT, Sebastopol, CA 95472
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Tina Stanley L.c.s.w. 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 July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95472 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 $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Tina Stanley's NPI number?

The NPI number for Tina Stanley is 1932439403. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Tina Stanley located?

Tina Stanley practices at 934 Gaydee Ct, Sebastopol, CA 95472. The listed phone number is (707) 829-8443.

What is Tina Stanley's specialty?

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

Is Tina Stanley enrolled in Medicare?

No. Tina Stanley has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tina Stanley was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.