Stacey Renee Light

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21129 Issued in CA

Practice address

1612 S Canfield Ave
Los Angeles, CA 90035-3219

Phone

(818) 438-2215

NPI assigned

Jun 18, 2026

Last updated

Jun 18, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1922934983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S CANFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353219",
            "telephone_number": "818-438-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S CANFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353219",
            "telephone_number": "818-438-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Elois Liggins, M.D.
• Light Pathway Counseling and Wellness Licensed Independent Social Worker Corporation (Light Pathway Counseling and Wellness)
• Hannah Light, MSW, ASW
• Leilani Light
• Nava Light
• Darnelle Lightbourne
• Nina Rachel Lightdale, M.D.
• Nicole Lightfoot, M.A.
• Lighthouse Community Outreach, Inc.
• Lighthouse Healthcare Center, LLC (Lighthouse Healthcare Center)

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.