Stacy Willis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1904499 Issued in OH

Practice address

3454 Oak Alley CT Ste 305
Toledo, OH 43606-1365

Phone

(567) 318-1552

Fax

(567) 429-0185

NPI assigned

Jul 1, 2025

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearts Haven Behavioral Health

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1013848365
  NPD (past)
• The Heart'S Haven Center for Counseling

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1194395897
  NPD (past)

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1437048816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 PIN OAK DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151862",
            "telephone_number": "419-318-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061365",
            "telephone_number": "567-318-1552",
            "fax_number": "567-429-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Willis
• Nickyh Willis
• Odell Willis
• Sharonda Latreese Willis
• Sierra Nicole Willis
• Susan Marie Willis
• Verna Sharon Willis
• Daina Willoughby
• Tammy Willoughby
• Andrea Antoinette Wilson Love Blackwell

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.