Stacey Lyn Molinaro, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095930 Issued in MI

Practice address

290 W 9 Mile Rd
Ferndale, MI 48220

Phone

(248) 398-7105

Fax

(248) 398-7105

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Affirmations Community CenterGroup PAC ID 8426591546, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.staceymolinaro@150339.advancedmd-direct.com

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.

• Affirmations Community Center

  • Community/Behavioral Health Agency
  • Ferndale, MI
  • NPI 1154681641
  Medicare reassignment Care Compare group NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  Mental Health

  Medicare reassignment Care Compare group NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  Clinical

  NPD
• Downriver Mental Health Clinic PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Clair Shores, MI
  • NPI 1598893141
  NPD
• Path to Empowerment, PLLC

  • Clinical Social Worker
  • Ferndale, MI
  • NPI 1952918013
  NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1497220917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201794",
            "telephone_number": "248-398-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "248-398-7105",
            "fax_number": "248-398-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24715 Little Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480803207",
            "country_code": "US",
            "telephone_number": "586-777-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINARO",
        "first_name": "STACEY",
        "middle_name": "LYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801095930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497220917",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Miners, LLMSW
• Michelle Cara Mirkes, MA, LPC
• Laurie-Ann Cadene Mitchell
• Erica E Mitra, NBHWC
• Mobile Wellness
• Dana Katharine Monforton, LLP
• Abraham Motola, O.D., M.A.
• Mr Eyeglassman Optical Services
• Alyssa Suzanne Mull, CNM
• Alejandra Andrea Munoz, MD

• Clinical Social Worker in Ferndale, MI
• Providers in Ferndale, 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 Nov 13, 2024; 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.