MS. STACY LOUISE KILBURN LCSW, LMSW-C
NPI 1942554951
Social Worker - Clinical in San Diego, CA

Q: What is Stacy Kilburn's NPI number?

The NPI number for Stacy Kilburn is 1942554951. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Q: What is Stacy Kilburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Kilburn was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment

823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2400(619) 269-0906 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2022, Feb 25, 2022, Jan 18, 2022 (3 updates tracked since 2022).

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About Ms. Stacy Louise Kilburn Lcsw, Lmsw-c NPPES

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

MS. STACY LOUISE KILBURN LCSW, LMSW-C (NPI 1942554951) is an individual clinical provider in San Diego, California, licensed in California (106433) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1942554951

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. STACY LOUISE KILBURNCredential: LCSW, LMSW-C

Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (248) 835-9870

Phone(619) 515-2400

Fax(619) 269-0906

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 30, 2012

Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration

NPPES CertifiedJuly 22, 2022

✔ NPI 1942554951 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 · 106433✔ Licensed in MI · 6801093059

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.

823 GATEWAY CENTER WAY, San Diego, CA 92102

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacy Louise Kilburn Lcsw, Lmsw-c 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 ID8123460185

PECOS Enrollment IDI20240522004242

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92102 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

SUSAN KERMOIAN YASZAY NP

Nurse Practitioner (Family)