Individual provider Active NPI

Stacey Smith, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1891319976
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3201 Hallmark CT
Saginaw, MI 48603-2109
Phone
(989) 790-5990
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3201 Hallmark CT
Saginaw, MI 48603-2109

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 598-6425

Other practice location 1

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other names 1

  • Stacey Mumby Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220720002204 MI Practitioner - Clinical Social Worker 6103207253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 Hallmark CT
Saginaw, MI 48603-2109
Phone (989) 790-5990

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Psychological Services, Inc. Social Worker CurrentSince Jul 7, 2022 Accepting new patients
Saginaw Cooperative Hospitals, Inc Social Worker CurrentSince Nov 8, 2022 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Nov 8, 2022 Accepting new patients

Locations

2100 Hemmeter Rd
Saginaw, MI 48603
Phone (989) 799-2100

1575 Concentric Blvd
Saginaw, MI 48604
Phone (989) 583-6800

3201 Hallmark Ct
Saginaw, MI 48603
Phone (989) 790-5989

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1891319976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-598-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032109",
            "telephone_number": "989-790-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Hemmeter Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033944",
            "country_code": "US",
            "telephone_number": "989-799-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MUMBY",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.