IndividualActive
Kelly Staddie, LCSW
NPI 1093879835 · Clinical Social Worker · Mexico, MO
Kelly Staddie, LCSW is a Clinical Social Worker provider in Mexico, MO (NPI 1093879835).
Provider details
- NPI number
- 1093879835
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 2005008356 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
734 W Monroe St
Mexico, MO 65265-1970
Phone: (573) 642-5345
Fax: (573) 642-5162
Street-level locationGet directions
Mailing address
24 Lakeside Pl
Mexico, MO 65265-2227
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Staddie's NPI number?
- Kelly Staddie's National Provider Identifier (NPI) is 1093879835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Staddie's specialty?
- Kelly Staddie is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Staddie located?
- Kelly Staddie's practice location on file with NPPES is 734 W Monroe St, Mexico, MO 65265-1970.
- What is Kelly Staddie's phone number?
- The practice phone number listed in the NPPES registry for Kelly Staddie is (573) 642-5345.
- Is Kelly Staddie's NPI active?
- Yes — Kelly Staddie's NPI (1093879835) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.