MRS. Staci Jo Carpenter, LISW

NPI #1124495098 in Grayson, Kentucky

Provider Information

NPI Number: 1124495098
Entity Type: Individual
Name: MRS. Staci Jo Carpenter, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Aug 27, 2015
Last Updated: Feb 2, 2026

Practice Location

Address: 13399 STATE HIGHWAY 2
City: Grayson
State: Kentucky
ZIP Code: 41143-8640
Phone: (606) 713-3853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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