Stacy McNeely LMSW PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088465 Issued in MI

Legal business name

STACY MCNEELY LMSW PLC

Practice address

36 W 8TH St
Suite 250
Holland, MI 49423-2701

Phone

(616) 805-8341

Fax

(616) 258-2200

NPI assigned

Oct 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Renae McNeely, MSW, LMSW, ACSWNPI 1477614063

Title

Owner

Phone

(616) 805-8341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Renae McNeely, MSW, LMSW, ACSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1477614063
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1851763205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKESHORE DR S",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242222",
            "telephone_number": "616-805-8341",
            "fax_number": "616-258-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST",
            "address_2": "SUITE 250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232701",
            "telephone_number": "616-805-8341",
            "fax_number": "616-258-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY MCNEELY LMSW PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MCNEELY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-805-8341",
        "authorized_official_credential": "MSW, LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Spoelma
• Blake Rushford Spooner, D.C.
• Samantha Jo Spooner, D.C.
• Holly Jean Sprick, RN
• Ashley Nichole St Andrew, PHARM.D
• Roshel Catia Stafford, LMSW
• Donald Leroy Stageman, M.D.
• Brittany Stahl
• Khristine Stanek
• James Stark, LMSW, CAADC

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.