Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lynn Rodriguez, LSCSW

Individual provider Clinical Social Worker · NPI 1972585495

Stacey Lynn Rodriguez, LSCSW is a Clinical Social Worker in Wichita, Kansas. Qualified in 1999, 27 years ago. Practices with Mental Health America of South Central Kansas, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
27
Licensed in
KS
In the registry since
2005
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Practice location Address checks out

555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Phone: (316) 651-1230
Fax: (316) 685-0768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2327 (KS)

Record details

NPI number1972585495
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESAugust 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mental Health America Of South Central Kansas, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita