Stacey Jarrett, BS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

70 Lafayette St
Pontiac, MI 48342-2033

Phone

(248) 338-7458

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Alternative Community Living, Inc.

  dba Hope Network - New Passages

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Flint, MI
  • NPI 1164718441
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1649550823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W WATER ST STE 108",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAFAYETTE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422033",
            "telephone_number": "248-338-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "STACEY",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiju James, P.T.
• Besman Jamil
• Riam Lucy Jamil, FNP-C
• Shahid Jamil, M.D.
• Zachary J Jarou, MD, MBA
• Brandon Jarvis, M.D.
• Seth Matthew Jaskowiak, D.O.
• Racquel Monique Jefferson
• Karen Marie Jeffery, LMSW
• Nihar Kanta Jena, M.D.

• Clinical Social Worker in Pontiac, MI
• Providers in Pontiac, 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 Aug 19, 2011; 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.