Individual provider Active NPI

Stacie Dubay, MSW

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1063972347
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085763 Issued in MI
Practice address
1350 Haslett Rd
East Lansing, MI 48823-2823
Phone
(517) 316-5289
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085763 MI Primary

Addresses

Primary practice location

1350 Haslett Rd
East Lansing, MI 48823-2823

Mailing address

13260 Chandler Rd
Bath, MI 48808-9468
Phone (517) 316-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514000064 MI Practitioner - Clinical Social Worker 2466795505 Reassigns benefits to 1 organization
Practice locations: East Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Haslett Rd
East Lansing, MI 48823-2823
Phone (517) 347-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dubay Counseling & Consulting L.L.C. Clinical CurrentSince Jan 1, 2022 Accepting new patients
Women'S Personal Growth and Psychotherapy Center, PC Clinical PastSince Aug 14, 2022 Accepting new patients

Locations

1350 Haslett Rd
Ste 102
East Lansing, MI 48823
Phone (517) 347-2126

1350 Haslett Rd
East Lansing, MI 48823
Phone (517) 316-5289

1350 Haslett Rd
Ste 107
East Lansing, MI 48823
Phone (517) 347-2126

4660 Marsh Rd
Okemos, MI 48864
Phone (517) 347-2126

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1063972347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 CHANDLER RD",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488089468",
            "telephone_number": "517-316-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HASLETT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232823",
            "telephone_number": "517-316-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY",
        "first_name": "STACIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.