Stacey Bartl
Individual provider Active NPI Social Worker · Kingsford, MI
NPI 1831668136 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1831668136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6802089986
- Practice address
- 715 Pyle Dr
Kingsford, MI 49802-4456 - Phone
- (906) 774-0522
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802089986 | Yes |
Addresses
Primary practice location
715 Pyle Dr
Kingsford, MI 49802-4456
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other providers in Kingsford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.