Stacy Renae McNeely, MSW, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088465 Issued in MI

Practice address

36 W 8TH St
Suite 250
Holland, MI 49423-2701

Phone

(616) 805-8341

Fax

(616) 258-2200

NPI assigned

Dec 13, 2006

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Stacy McNeely LMSW PLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1851763205
  Medicare reassignment Authorized official
• Bethany Christian Services, Inc

  • Community/Behavioral Health Agency
  • Holland, MI
  • NPI 1629134341
  Medicare reassignment NPD
• Bethany Christian Services Inc.

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1528104643
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1477614063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST",
            "address_2": "SUITE 250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232701",
            "telephone_number": "616-805-8341",
            "fax_number": "616-258-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST",
            "address_2": "SUITE 250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232701",
            "telephone_number": "616-805-8341",
            "fax_number": "616-258-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "STACY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Renee McKinney, NP
• Molly McKinney
• Ann McKnight, LMSW
• Michael T. McMahon, MA, LLP, LPC
• Donald Charles McMillan, D.O.
• Beth McNeil, NP
• Myrna McNitt, CSW
• Katherine Joy Meade
• Med-1 Holland LLC
• Medexpress Urgent Care, PC - Michigan (MedExpress Urgent Care - Holland, Douglas Ave)

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.