Individual ProviderCristy Machelle StiversSocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(502) 287-4000PECOS EnrollmentBased on the most recent information from CMS, provider Cristy Machelle Stivers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1265547673Provider TypeIndividualFull NameStivers, Cristy MachelleTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/19/2006Last Updated11/18/2013Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-4000FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense34004916AIndianaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseKY-1954Kentucky