MS. STACY MARIE STACKROW (NPI# 1144373952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144373952 |
| Entity Type | Individual |
| Full Name | MS. STACY MARIE STACKROW |
| Credential | B.S. |
| Practice Address |
585 Lincoln St Worcester MA 01605-1906 |
| Practice Telephone | 5088543320 |
| Practice Fax Number | 5087535051 |
| Mailing Telephone | 5088543320 |
| Mailing Fax Number | 5087535051 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1308785 | 05 | |
| MA | 1306421 | 05 | |
| MA | BCBS MENTAL HEALTH | M18684 | 01 |
| MA | BCBS SUBSTANCE ABUSE | 2220002001 | 01 |
| Street Address |
585 LINCOLN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487608485 | Spectrum Health Systems, Inc | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2006-05-22 |
| 1356969588 | Ashley A. Foster | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2020-07-14 |
| 1598383655 | Mia Griffin | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2020-07-06 |
| 1043857352 | Lexie Ford-clottey | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-12-05 |
| 1437708203 | Ashley L. Oliveri | Social Worker | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-09-05 |
| 1083276794 | Jayson Hidalgo | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-07-02 |
| 1538721360 | Cynthia Lafalaise | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-07-02 |
| 1528620358 | Shannon O'brien | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-07-02 |
| 1457828576 | Jacqueline A. Bradley | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2018-10-26 |
| 1417424615 | Kathryn Kowalsky | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2018-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322784 | Margaret Karimi | Case Manager/Care Coordinator | 376 Sunderland Rd Apt 23, Worcester, MA 01604-2512 | 2019-08-22 |
| 1326692260 | Farah Gay | Case Manager/Care Coordinator | 2 Duncannon Ave Apt 11, Worcester, MA 01604-5139 | 2019-07-29 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1700149820 | Joanne Finnegan | Case Manager/Care Coordinator | 340 Main St Ste 819, Worcester, MA 01608-1665 | 2012-06-22 |
| 1851618896 | Debra A Schnare | Case Manager/Care Coordinator | 70 Elm St Ste 103, Worcester, MA 01609-2300 | 2010-04-30 |
| 1386975142 | William H Hockenhull | Case Manager/Care Coordinator | 70 Elm St, 103, Worcester, MA 01609-2300 | 2010-01-19 |
| 1871751578 | Laurie Ann Majka | Case Manager/Care Coordinator | 243 Millbury St, Worcester, MA 01610-2177 | 2008-05-29 |
| 1205998028 | Erica Elizabeth Rogan | Case Manager/Care Coordinator | 337 Main Street, Suite 320 South Bay Mental Health, Worcester, MA 01608 | 2006-12-15 |
| 1174189260 | Evan Polakowski | Case Manager/Care Coordinator | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-14 |
| 1104300979 | Michelle White | Case Manager/Care Coordinator | 237 Millbury St, Worcester, MA 01610-2177 | 2018-09-18 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.