Stacy Justice, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120039 Issued in MA

Practice address

403 Belmont St
Worcester, MA 01604-1019

Phone

(413) 584-4040

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacy Justice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northampton Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Worcester, MA
  • NPI 1528354180
  NPD
• Beacon Hospice, LLC

  • Community Based Hospice Care Agency
  • Marlborough, MA
  • NPI 1043335011
  NPD (past)
• Beacon Hospice, LLC

  • Community Based Hospice Care Agency
  • Leominster, MA
  • NPI 1386839520
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1104307289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041019",
            "telephone_number": "413-584-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Renaissance Medical Group",
            "address_2": "11-15 Saundersdale Road",
            "address_purpose": "LOCATION",
            "city": "Southbridge",
            "state": "MA",
            "postal_code": "01550",
            "country_code": "US",
            "telephone_number": "508-479-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "STACY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120039",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "JUSTICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Jung, PHARMD, RPH
• Julie Jung
• Melanie Elizabeth Asche Jung, CRNP
• Joshua Jusino
• Leonard Jusme, M.A., LMHC
• Erin Jane Justus, FNP
• Ronit Juthani, MD
• Katelyn Marie Jyringi
• K & J Dental Associates PLLC
• Zenab Kaba

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.