Staci Jo Carpenter, LISW
Social Worker, Clinical in Grayson, KY. Individual provider (NPI-1).
NPI number1124495098
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1124495098
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Staci Jo Carpenter
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2015
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2607648 | OH | Yes |
| 104100000X | Social Worker | 7394 | KY |
Other names
- Staci Menix (Former Name)
Practice location
13399 State Highway 2Grayson, KY 41143-8640
Phone 606-713-3853
Mailing address
13399 State Highway 2Grayson, KY 41143-8640
Phone 606-713-3853
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Other Clinical Social Worker providers in Grayson, KY
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All 10 Clinical Social Worker providers in Grayson · All 317 providers in Grayson
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