Stacy Michelle Henson, LMSW-C, CCM, CBIS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801121235 Issued in MI

Practice address

2311 Shelby Ave Ste 105
Ann Arbor, MI 48103-3849

Phone

(734) 234-6896

NPI assigned

May 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1124818620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CARPENTER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979644",
            "telephone_number": "734-234-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-234-6896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 E Main St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "MI",
            "postal_code": "481601282",
            "country_code": "US",
            "telephone_number": "734-234-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "STACY",
        "middle_name": "MICHELLE",
        "credential": "LMSW-C, CCM, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Henry, MD
• Norah Lynn Henry, MD
• Ryan Hensel, RRT
• Lauren Patricia Hensick, D.D.S.
• Robert N Hensinger, MD
• Paul Hepfinger, RN
• Flo Anne Hepola, LMSW
• Ann Marie Herbert, MPT OCS
• Christina Herbin, LPC
• Thomas James Herbst, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.