MEDICARE: MARCI STUCKI LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	4171260	ID

General Provider Information

NPI Number	:	1922689546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCI STUCKI LMSW

Provider Business Mailing Address
First Line	:	251 W 3RD N
Second Line	:
City	:	REXBURG
State	:	ID
Zip	:	83440-1532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2691 S 2000 W
Second Line	:
City	:	REXBURG
State	:	ID
Zip	:	83440-4088
Country	:	US
Telephone Number	:	208-701-9616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	05/22/2026

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Directions to “ MARCI STUCKI LMSW” Practice Location

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