Stacey Koin
Individual provider Active NPI Clinical Social Worker · Standish, MI
NPI 1144626490 · NPPES record last updated Nov 14, 2014
Key facts
- NPI
- 1144626490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6802057964 (MI)
- Practice address
- 1000 W Cedar St
Standish, MI 48658-9421 - Phone
- (989) 846-4573
- NPI assigned
- Nov 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802057964 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6802057964 | MI | Yes |
Addresses
Primary practice location
1000 W Cedar St
Standish, MI 48658-9421
Mailing address
1000 W Cedar St
Standish, MI 48658-9421
Other providers in Standish, MI
- Dana R Katterman
- Lakhvir Kaur
- Amy Kerkela
- Jeffrey S Kimball
- Charles Allen Kinsey
- Kaitlyn Emily Kokaly
- Trisha Koontz
- Aaron Joseph Korczowski
- Victoria Kraatz
- Chelsey Kreil
All providers in Standish, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.