Stacey Wilson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26309 Issued in MD

Practice address

8259 Baltimore Annapolis Blvd Ste a
Pasadena, MD 21122-1237

Phone

(410) 630-1064

NPI assigned

Dec 16, 2025

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Alliance Community Treatment, LLC

  • Community/Behavioral Health Agency
  • Pasadena, MD
  • NPI 1871344044
  NPD

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1154286771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221237",
            "telephone_number": "410-630-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 BALTIMORE ANNAPOLIS BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221237",
            "telephone_number": "410-630-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Oak Pediatrics Dr Battiata & Impeduglia PA (DBA Pediatric Place)
• Jabari Wilbon
• Wildflower Therapy Collective
• William G Brown MD Dermatology & Assoc,LLC
• Gregory S. Wilson, M.S.
• Robin I Wisch, MD
• Wisecare Primary Care
• Wisecare, LLC (WiseCare Express Urgent Care Center)
• Kelly Wojciechowski
• Zelalem Woldemariam, PHARMD

• Clinical Social Worker in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.