Stacy Lynn Couch, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096263 Issued in MI

Practice address

1349 S Otsego Ave Ste 11
Gaylord, MI 49735-9170

Phone

(989) 448-8540

Fax

(989) 448-8422

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1992263230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S OTSEGO AVE STE 11",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359170",
            "telephone_number": "989-448-8540",
            "fax_number": "989-448-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S OTSEGO AVE STE 11",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359170",
            "telephone_number": "989-448-8540",
            "fax_number": "989-448-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen F Conklin, NP
• Samantha Paige Conklin, SLP
• Shelley Ann Conley, ATC, OTC
• Patrick Allan Cosgrove, P.T.
• Terrance Mark Cottle, M.A., L.M.S.W.
• Patricia Lynn Coultes, BSW
• Emilyjo Rena Courterier, NP
• Cousineau Chiropractic Center PLLC
• Donald Paul Cousineau, DO, PC
• Shane Michael Cousineau, D.C.

• Clinical Social Worker in Gaylord, MI
• Providers in Gaylord, 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 Mar 6, 2019; 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.