Stacey Marie Coon-Ballard, LMSW
Individual provider Active NPI Clinical Social Worker · Three Rivers, MI
NPI 1902233430 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1902233430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801095792 (MI)
- Practice address
- 1519 N Main St Ste C
Three Rivers, MI 49093-1377 - Phone
- (269) 273-2024
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher L. Barnes, PLLC | Current |
Accepting new patients | |
| Transitions Wellness Center LLC | Current |
Accepting new patients | |
| Bronson Methodist Hospital | Current |
Accepting new patients |
Locations
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
4613 W Main St
Ste A
Kalamazoo, MI 49006
Phone (269) 250-8868
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
1519 N Main St
Ste C
Three Rivers, MI 49093
Phone (269) 273-2024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801095792 | MI | Yes |
Addresses
Primary practice location
1519 N Main St Ste C
Three Rivers, MI 49093-1377
Mailing address
1519 N Main St Ste C
Three Rivers, MI 49093-1377
Phone (269) 273-2024
Other providers in Three Rivers, MI
- Nicole Raye Combs
- Eric Thomas Comer
- Community Healing Center
- David Conner
- Margaret A Cook
- Nicole Rochelle Corfield
- Chloe Nicole Cornwell
- Counseling and Psychological Services of Three Rivers P.C.
- Steven J Cowing
- Sean J Crabtree
All providers in Three Rivers, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.