Stacey M Herkner, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801068003 Issued in MI

Practice address

1714 Eastman Ave
Midland, MI 48640-4216

Phone

(989) 631-5390

Fax

(989) 631-0488

NPI assigned

May 17, 2006

Last updated

Apr 17, 2022By the provider in NPPES

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

Other names 1

• Stacey M Berg Former name

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middle Path LLCGroup PAC ID 3476930835, 4 clinicians

Hyacinth Clinical Services and Consulting PLLCGroup PAC ID 7416339080, 9 clinicians

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.

• Hyacinth Clinical Services and Consulting PLLC

  • Clinic/Center
  • Mt Pleasant, MI
  • NPI 1437898707
  Medicare reassignment Care Compare group NPD
• Middle Path LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, MI
  • NPI 1518567221
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1548212327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032433",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKNER",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801068003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BERG",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Hendershot, PHYSICIAN ASSISTANT
• Jay Hendricks
• Gerald Henige, RN
• Erica Anne Hennard, LMSW
• Lindsey Renee Henry, OTRL
• Lauren Herline, PSYD
• Jeffrey Herman, MD
• James Korak Herring, CHIROPRACTOR
• Curtis Richard Herzog, DDS, MD
• Justin Michael Hess, HIS

• Social Worker in Midland, MI
• Providers in Midland, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.