Staci Jo Carpenter, LISW
NPI 1124495098ActiveIndividual· Social Worker, Clinical· Grayson, KY
Social Worker, Clinical (LISW) in Grayson, Kentucky, licensed in OH and KY, with an NPI issued in August 2015. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1124495098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Aug 27, 2015 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2607648 | OH |
| Social Worker | 104100000X | 7394 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (KY); Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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