Stacy Rene' Colias, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110402 Issued in MI

Practice address

555 E William St Apt 25G
Ann Arbor, MI 48104-2428

Phone

(773) 484-5116

NPI assigned

Jul 23, 2021

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

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1295308435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 COVENTRY SQUARE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036300",
            "telephone_number": "773-484-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST APT 25G",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042428",
            "telephone_number": "773-484-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIAS",
        "first_name": "STACY",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Eloise Coleman, AUD
• Michele Ann Mayor Coleman, RN, BSN
• Tyrone Coleman
• Robert Coley
• Melissa Ann Colgan
• Marissa Collaer
• Collective Culture Health & Chiropractic
• Lisa M Colletti, MD
• David Andrew Collier, PSY.D.
• Georgianna Collier

• 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 Jul 23, 2021; 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.