Kellan Jace Stack, LCSW
Clinical Social Worker · Evans, CO
Kellan Jace Stack, LCSW is a clinical social worker with a practice address in Evans, Colorado, and NPI 1114499811, issued on Dec 19, 2018. Check the license (Colorado CSW.09930278, as entered in NPPES) with the Colorado board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kellan Jace Stack
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- CSW.09930278 CO
Self-reported in NPPES; status is on the state search - Practice location
- 2441 Shooting Star Way, Evans, CO 80620
- Phone
- (970) 689-6388
- Enumerated
- Dec 19, 2018
- Record last updated
- Jul 1, 2025
- Medicare enrollment
- Enrolled (PECOS I20260313004222); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 7,356 in Colorado → Look up another NPI →
Verify Kellan Jace Stack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Colorado board licenses this profession
Search for license CSW.09930278Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kellan Jace Stack among 7,356 clinical social worker records in Colorado
Kellan Jace Stack, LCSW is one of 7,356 clinical social worker records with a practice address in Colorado. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2018, is newer than 53% of them.
- NPI issued2018 · 53% of these records are older, 42% newer
- In a Medicare fileNo · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2018 · median 2014 among the 1,575 with a school on file
- Record last updated2025 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 clinical social worker records list a practice address in Evans
They are 6 of the 139 NPPES records with a practice address in Evans, and 7,356 clinical social worker records in Colorado. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 7,356 in Colorado → Every provider in Evans → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Esther Aguila, MSWEvans, CO 806201063806685
- Yaricza Castaneda, MSW, LCSWEvans, CO 806201750050258
- Maria Diaz, LCSW, CAC IIIEvans, CO 806201588769335
- Jennifer Miller, LCSWEvans, CO 806201386040871
- Paulette Tarnasky, LCSWEvans, CO 806201932293354
- Jaclyn Davis, LCSWFort Lupton, CO 806211750682621
- Annalise EverettFort Lupton, CO 806211740664408
- Melissa Phifer, MSWFort Lupton, CO 806211801529532
Common questions
What is Kellan Jace Stack, LCSW's NPI number?
Kellan Jace Stack, LCSW's National Provider Identifier (NPI) is 1114499811, issued on Dec 19, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Kellan Jace Stack, LCSW located?
The NPPES record lists a practice address at 2441 Shooting Star Way, Evans, CO, 80620. Phone: (970) 689-6388. Providers update this record themselves, so call before visiting.
How can I verify Kellan Jace Stack, LCSW's license?
NPPES lists Colorado license number CSW.09930278, as entered by the provider. Search the Colorado board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.