MEDICARE: MRS. ISABELLA STACKL LICSW

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	1041C0700X	Clinical Social Worker	LC50079229	DC

General Provider Information

NPI Number	:	1962820225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ISABELLA STACKL LICSW

Provider Business Mailing Address
First Line	:	11715 KING TREE ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2636
Country	:	US
Telephone Number	:	301-357-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	11715 KING TREE ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2636
Country	:	US
Telephone Number	:	301-357-2727
Fax Number	:

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

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	10/14/2022

Similar Medicare Providers

1467178129 — HEALING SPACES COUNSELING, LLC
Practice Location Address:

11715 KING TREE ST
SILVER SPRING, MD
20902-2636

Practice Phone: 301-357-2727
Practice Fax:

1255216156 — ASMA REHMAN
Practice Location Address:

11715 KING TREE ST
SILVER SPRING, MD
20902-2636

Practice Phone: 571-499-9055
Practice Fax:

1245908649 — LISA SOREF MSW
Practice Location Address:

2228 WASHINGTON AVE APT 201
SILVER SPRING, MD
20910-2636

Practice Phone: 202-713-7997
Practice Fax:

1942157797 — AYLEN ALFONSO FERNANDEZ
Practice Location Address:

3467 MONTANO AVE
SPRING HILL, FL
34609-2636

Practice Phone: 352-777-3214
Practice Fax:

1316941669 — DR. DAVID MATTHEW WAY O.D.
Practice Location Address:

6603 FM 2920 RD
SPRING, TX
77379-2636

Practice Phone: 281-370-4444
Practice Fax: 281-320-2012

1326028127 — DR. MARK EDWARD IOCCA DDS
Practice Location Address:

2000 SPRING ARBOR RD , STE A
JACKSON, MI
49203-2636

Practice Phone: 517-787-5210
Practice Fax: 517-787-9223

Directions to “ MRS. ISABELLA STACKL LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.