Individual provider · Type 1 NPI

Staci Jo Carpenter, LISW

Clinical Social Worker · Grayson, KY

NPI number 1124495098 Active

Practice location

13399 State Highway 2
Grayson, KY 41143-8640

Call (606) 713-3853 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X7394 (KY)
Clinical Social Worker Primary 1041C0700XI.2607648 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124495098

Staci Jo Carpenter, LISW's National Provider Identifier is 1124495098, issued on Aug 27, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grayson, KY. The record was last updated on Feb 2, 2026.