Stacey Allen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801067059 Issued in MI

Practice address

5401 Gateway Ctr Ste D
Flint, MI 48507-3980

Phone

(248) 954-4392

NPI assigned

Feb 28, 2020

Last updated

Feb 28, 2020By 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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Commerce Sports and Spine PLLCGroup PAC ID 3870926397, 12 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.

• Commerce Sports and Spine PLLC

  • Psychiatry Physician
  • Southfield, MI
  • NPI 1720629157

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Zakimi Holdings LLC

  dba University Behavioral Institute

  • Community/Behavioral Health Agency
  • Livonia, MI
  • NPI 1649057209

  Clinical

  Medicare reassignment NPD
• Home MD PLLC

  • Adult Medicine Physician
  • Waterford, MI
  • NPI 1407747215

  Single Specialty

  NPD
• Community Health Hospice Care, LLC

  dba The Care Team

  • Community Based Hospice Care Agency
  • Flint, MI
  • NPI 1073906590
  NPD (past)
• Oceanside Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1659234375

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1801420708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 CRESTWOOD DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394319",
            "telephone_number": "810-610-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 GATEWAY CTR STE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073980",
            "telephone_number": "248-954-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STACEY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Allen
• Nakia Allen
• Regina Allen, MS
• Samuel Edward Allen
• Shaqeta Lajoyce Allen
• Staci Allen
• William James Allen, R.N.
• Allergy & Asthma Center PC
• Alliance Anesthesia PLLC
• Alliance Physician Services of Michigan, P.C. (Michigan Institute of Urology)

• Clinical Social Worker in Flint, MI
• Providers in Flint, 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 Feb 28, 2020; 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.