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MARY ELLEN STAHR LCSW LLC
NPI 1962769307
Social Worker - Clinical in Bradenton, FL

Active since April 23, 2012
3653 CORTEZ RD W, SUITE 110 H, BRADENTON, FL 34210(941) 758-1636(941) 894-6224 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Ellen Stahr Lcsw Llc NPPES

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

MARY ELLEN STAHR LCSW LLC (NPI 1962769307) is a healthcare organization registered as a clinical in Bradenton, Florida and active in the NPI registry since April 2012. The organization lists Mary Ellen Stahr, Owner, as its authorized official.

NPPES Registry Identity

NPI1962769307
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY ELLEN STAHR LCSW LLC
Location Address3653 CORTEZ RD W, SUITE 110 HBradenton, FL 34210-3168
Mailing Address3653 Cortez Rd W, Suite 110 HBradenton, FL 34210-3168 · (941) 758-1636 · Fax (941) 894-6224
Phone(941) 758-1636
Fax(941) 894-6224
Organization SubpartNo
Authorized OfficialMary Ellen StahrOwner · (941) 758-1636
Enumeration DateApril 23, 2012
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1962769307 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 FL · 1275
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.
3653 CORTEZ RD W, Bradenton, FL 34210
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Other Identifiers 6

Medicaid001713800FL
Other0004477465FL · Aetna
Other01128702FL · Amerigroup
OtherUAW065769FL · Value Options/military One Source
Other257481FL · Mhn
Medicare PINZ2585FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Stahr Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120427000333Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

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

RIGHT INTENTIONS, INC.
Home Health
3653 CORTEZ RD W, OFFICE 110, STE F
BRADENTON, FL 34210
Manatee County (941) 739-3050
FISHER COUNSELING & MEDIATION SERVICES, INC.
Counselor (Mental Health)
3653 CORTEZ RD W, SUITE 110C
BRADENTON, FL 34210
Manatee County (941) 758-2529
JOHN W ORSBORN L.AC.
Acupuncturist
3653 CORTEZ RD W, STE 120
BRADENTON, FL 34210
Manatee County (941) 545-2445

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 Mary Ellen Stahr Lcsw LLC's NPI number?

The NPI number for Mary Ellen Stahr Lcsw LLC is 1962769307. It was assigned to this organization in the NPPES registry on April 23, 2012.

Where is Mary Ellen Stahr Lcsw LLC located?

Mary Ellen Stahr Lcsw LLC is located at 3653 Cortez Rd W Suite 110 H, Bradenton, FL 34210. The listed phone number is (941) 758-1636.

What is Mary Ellen Stahr Lcsw LLC's specialty?

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

Is Mary Ellen Stahr Lcsw LLC enrolled in Medicare?

Yes. Mary Ellen Stahr Lcsw LLC is registered in the Medicare PECOS enrollment system.

When is Mary Ellen Stahr Lcsw LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Mary Ellen Stahr Lcsw LLC was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.