STACY LYNEE EMBRACK (NPI# 1619577368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619577368 |
| Entity Type | Individual |
| Full Name | STACY LYNEE EMBRACK |
| Practice Address |
1401 Mercantile Ln Ste 485 Upper Marlboro MD 20774-4301 |
| Mailing Address |
14905 Health Center Dr Apt 365 Bowie MD 20716-1129 |
| Practice Telephone | 3019969884 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MD | Behavioral Health & Social Service Providers |
| Street Address |
1401 MERCANTILE LN STE 485 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720400674 | Alexis Jones | Social Worker | 1401 Mercantile Ln Ste 485, Upper Marlboro, MD 20774-4301 | 2014-01-13 |
| 1134739634 | Eliyah Britto | Social Worker | 1401 Mercantile Ln Ste 485, Upper Marlboro, MD 20774-4301 | 2020-08-09 |
| 1174133425 | Transcend Clinical Services Inc. | Counselor | 1401 Mercantile Ln Ste 485, Upper Marlboro, MD 20774-4301 | 2020-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998694 | Shanice Monique Randall | Social Worker | 14202 Water Fowl Way, Upper Marlboro, MD 20774-4002 | 2020-10-05 |
| 1306443510 | Chandra Lloyd | Social Worker | 10001 Oakengate Dr, Upper Marlboro, MD 20772-4396 | 2020-10-01 |
| 1114543758 | Annodright, LLC | Social Worker | 9500 Medical Center Dr Ste 230i, Upper Marlboro, MD 20774-3707 | 2020-06-19 |
| 1376165803 | Andrea Roberson | Social Worker | 14104 Rectory Ln, Upper Marlboro, MD 20772-2828 | 2020-05-06 |
| 1104456839 | Kyla Payne | Social Worker | 8863 Heathermore Blvd Apt 302, Upper Marlboro, MD 20772-5182 | 2020-01-22 |
| 1205392487 | Kenya Ain Terry | Social Worker | 900 Sangerville Cir, Upper Marlboro, MD 20774-8434 | 2019-02-13 |
| 1194297283 | Holly Ashley | Social Worker | 2902 Matapeake Dr, Upper Marlboro, MD 20774-9401 | 2018-12-30 |
| 1568985273 | Tony Oby | Social Worker | 9475 Lottsfrod Road #250, Upper Marlboro, MD 20774 | 2017-07-25 |
| 1316474398 | Kimberly Renett Burton | Social Worker | 14626 Main St Ste 202, Upper Marlboro, MD 20772 | 2017-05-22 |
| 1659817021 | Reva Wilson | Social Worker | 1516 Northern Lights Dr, Upper Marlboro, MD 20774-6094 | 2017-01-10 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on STACY LYNEE EMBRACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.