STACEY ANDERSON (NPI# 1780061309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780061309 |
| Entity Type | Individual |
| Full Name | STACEY ANDERSON |
| Credential | LLMSW |
| Practice Address |
6633 Stony Creek Rd Ypsilanti MI 48197-6609 |
| Practice Telephone | 7344858725 |
| Mailing Telephone | 7344858725 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801096940 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508080615 | Stacey Francis Anderson | Dental Hygienist | 2454 Highway 2, Two Harbors, MN 55616-3000 | 2007-04-12 |
| 1336274968 | Stacey A. Anderson | Psychologist | 11311 S Stephanie Dr, Yuma, AZ 85367-5862 | 2007-02-22 |
| 1770637142 | Stacey Chatman Anderson | Social Worker | 2020 E 7th Street, Charlotte, NC 28213 | 2007-01-23 |
| 1265935530 | Stacey Anderson | Counselor | 617 Veterans Blvd Ste 107, Redwood City, CA 94063-1404 | 2018-03-13 |
| 1831637529 | Stacey Anderson | Nurse Practitioner | 16088 San Pedro Ave, Suite 115, San Antonio, TX 78232-2251 | 2017-02-02 |
| 1013300896 | Stacey M Anderson | Nurse Practitioner | 107 S Broadway St, Carlisle, KY 40311-1150 | 2015-03-18 |
| 1447566294 | Stacey N Anderson | Case Manager/Care Coordinator | 110 S C St Ste A, Lompoc, CA 93436-7340 | 2010-08-30 |
| 1659685253 | Stacey L. Anderson | Nurse Practitioner | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2010-08-06 |
| 1851419592 | Stacey L. Anderson | Marriage & Family Therapist | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2007-03-27 |
| 1427127042 | Stacey M. Anderson | Internal Medicine | Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Street Address |
6633 STONY CREEK RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457686230 | Dawn, Inc | Community/Behavioral Health | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2009-10-12 |
| 1306447396 | Diana Lynn Curry | Case Manager/Care Coordinator | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2020-11-05 |
| 1114528635 | Roxie Flavin | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2020-11-02 |
| 1447868930 | Ian Christopher Campbell | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2020-07-21 |
| 1487281812 | Courtney Elizabeth Schmidt | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2020-03-25 |
| 1861034852 | Tyler Sly | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2019-10-11 |
| 1851932164 | Brooke Hasenbusch | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2019-10-08 |
| 1508324740 | Bradley Michael Schmidt | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2019-03-06 |
| 1710414297 | Emily Ann Hagen | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2017-05-16 |
| 1417376252 | Nahkesha Johnson | Psychologist | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1922614791 | Anne Marie Solari | Social Worker | 2048 Washtenaw Rd Uppr Level, Ypsilanti, MI 48197-1889 | 2020-09-17 |
| 1285252478 | Layla Khayr | Social Worker | 1240 Leforge Rd Apt P8, Ypsilanti, MI 48198-3536 | 2020-07-14 |
| 1558985804 | Kelly Counseling and Consulting | Social Worker | 1159 Stamford Rd, Ypsilanti, MI 48198-3251 | 2020-06-02 |
| 1376166470 | Lauren Keough | Social Worker | 1204 Kingwood St, Ypsilanti, MI 48197-2142 | 2020-05-22 |
| 1750903886 | Tanyi Charles Agbor-baiyee | Social Worker | 7900 Shire Ln, Ypsilanti, MI 48197-1860 | 2020-05-12 |
| 1184273252 | Stephanie Nicole Shaw | Social Worker | 6048 Lake Dr, Ypsilanti, MI 48197-7046 | 2019-09-10 |
| 1447716964 | Jennifer Sue Bowles | Social Worker | 2352 Twin Lakes Dr Apt Ta, Ypsilanti, MI 48197-1477 | 2019-02-20 |
| 1497210926 | Yvette Colon | Social Worker | 124 Pearl St Ste 503, Ypsilanti, MI 48197-2663 | 2019-02-08 |
| 1679037428 | We Do Recover, LLC | Social Worker | 110 Pearl St, Ypsilanti, MI 48197-2650 | 2019-01-25 |
| Find all providers in YPSILANTI | ||||
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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.