Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Moore-Nolan, LCSW

Individual provider Clinical Social Worker · NPI 1649260522

Stacy Moore-Nolan, LCSW is a Clinical Social Worker in Jasper, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1991, 35 years ago. Practices with Lifespring, Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IN
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

480 Eversman Dr
Jasper, IN 47546-3548
Phone: (812) 482-3020
Fax: (812) 482-6409
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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 34004949A (IN)

Record details

NPI number1649260522
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 769, Jasper, IN 47547-0769

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1991 (35 years in practice)
Group practice Lifespring, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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