Stacey Marie Bliss, LMSW
Individual provider Active NPI Clinical Social Worker · Caro, MI
NPI 1275960643 · NPPES record last updated Feb 12, 2014
Key facts
- NPI
- 1275960643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801089173 (MI)
- Practice address
- 1332 Prospect Ave
Caro, MI 48723-9288 - Phone
- (989) 673-6191
- Fax
- (989) 672-3170
- NPI assigned
- Oct 1, 2013
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801089173 | MI | Yes |
Addresses
Primary practice location
1332 Prospect Ave
Caro, MI 48723-9288
Mailing address
323 N State St
Caro, MI 48723-1537
Phone (989) 673-6191
Other providers in Caro, MI
- Nancy Jane Bennett
- Karla Vincenta Beslay
- Dipaliben Sandip Bhavsar
- Bio-Medical Applications of Michigan, Inc.
- Lindsay Bissett
- Lida Rosanne Blue
- Brandy Lee Bly
- Kyle Bonesteel
- Rocco J Borg
- Shirley Bouza
All providers in Caro, 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 Feb 12, 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.