Active NPI
Stacia D Ward, LLMSW
- Social Worker
- Houghton, MI
National Provider Identifier
1528864840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851119494
- Practice address
- 1014 College Ave
Houghton, MI 49931-1823 - Phone
- (906) 523-7064
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851119494 | MI | Primary |
Addresses
Primary practice location
1014 College Ave
Houghton, MI 49931-1823
Mailing address
PO Box 513
South Range, MI 49963-0513
Phone (906) 379-5271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851119494 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1528864840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 513",
"city": "SOUTH RANGE",
"state": "MI",
"postal_code": "499630513",
"telephone_number": "906-379-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 COLLEGE AVE",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499311823",
"telephone_number": "906-523-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "STACIA",
"middle_name": "D",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851119494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houghton, MI
- Veronica Lynn Vuckovic
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2192)
- Wal-Mart Stores East, LP (Vision Center 30-2192)
- Walgreen Co (Walgreens #16254)
- Darin J Ward, DDS, MSD, FAGD
- Periann G Wasie, FNP
- R. Scott Webb, PH.D.
- Mary Louise Weed, LLMSW
- William Wertenberger, MS/OTR
- Western Upper Peninsula Substance Abuse Services Coordinating Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.