STACY JO BRUBAKER CSW
NPI 1619047230
Social Worker in Medford, OR

NPI Status: Active since November 09, 2006

Contact Information

140 SOUTH HOLLY STREET
MEDFORD, OR
ZIP 97501
Phone: (541) 774-8200
Fax: (541) 774-7964

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  • Individual
  • Female
  • Social Worker

About STACY BRUBAKER

This page provides the complete NPI Profile along with additional information for Stacy Brubaker, a provider established in Medford, Oregon with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1619047230 assigned on November 2006. The practitioner's primary taxonomy code is 104100000X with license number 1350033502 (UT). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1619047230
Provider Name
STACY JO BRUBAKER CSW
Gender
Female
Entity Type
Individual
Location Address
140 SOUTH HOLLY STREET MEDFORD, OR 97501
Location Phone
(541) 774-8200
Location Fax
(541) 774-7964
Mailing Address
140 SOUTH HOLLY STREET MEDFORD, OR 97501
Mailing Phone
(541) 774-8200
Mailing Fax
(541) 774-7964
Is Sole Proprietor?
No
Enumeration Date
11-09-2006
Last Update Date
12-22-2014
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A social worker like Stacy Brubaker helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
1350033502
License State
UT
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619047230
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629041426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 4 + 1 + 4 + 2 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619047230 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407843725DR. LUIS FELIX OXHOLM D.O.
Individual
Psychiatry & Neurology (Psychiatry)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1083699011MR. RICHARD CARTER RAWLINS LCSW
Individual
Social Worker (Clinical)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710933379COUNTY OF JACKSON
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1861428708 LISA R TRIPLETT FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1376694182MS. PATRICIA ANN ANDRIES NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1740401124 MARY TERESA KNAUF
Individual
Registered Nurse (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710179734 JAMES GORDON SHAMES M.D.
Individual
Family Medicine140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1578889986 KAREN SACHITANO RN, BSN
Individual
Registered Nurse (Psychiatric/Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1548589427 LAUREL RAE MAY MS, LPC
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1922310606MR. SHANE ELIOT SEMIN CADCI
Individual
Counselor (Addiction (Substance Use Disorder))140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1538463062 LAURA BRIDGES LCSW, QMHP
Individual
Social Worker (Clinical)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1720382229 LISA ELLEN ODEGAARD MA, MFT
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1568766814MRS. HEATHER DANNIELLE THOMPSON M.S.
Individual
Counselor (Mental Health)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1336443605 SHELLI PIVER
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710281068 CHRISTINE SEIDL FORSYTHE BS
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1891099123 LORNA DIANE ANDERSON
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1720382831 EVONNE MAXINE HUBBARD
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1285938340MRS. WODENA FAY GRABOWSKI
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1326342437MR. JEFFERY ALLAN HATHAWAY
Individual
Case Manager/Care Coordinator140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200
1710281829MRS. SHARON ELIZABETH KELLINGTON LCSW
Individual
Social Worker (Clinical)140 SOUTH HOLLY STREET
MEDFORD, OR 97501
(541) 774-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619047230, enumerated in the NPI registry as an "individual" on November 09, 2006

The provider is located at 140 South Holly Street Medford, Or 97501 and the phone number is (541) 774-8200

The provider's speciality is Social Worker with taxonomy code 104100000X

This NPI record was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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