STACELYNNE MACK


Address: 30601 Crest Frst, Farmington Hills, MI 48331-1052
Phone: 2485064065

STACELYNNE MACK (NPI# 1720590516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720590516
Entity Type Individual
Full Name STACELYNNE MACK
Other Name STACELYNNE WALLACE
Credential LMSW
Practice Address 30601 Crest Frst
Farmington Hills
MI 48331-1052
Mailing Address Po Box 47505
Oak Park
MI 48237-5205
Practice Telephone 2485064065
Mailing Telephone 2485064065
Enumeration Date 2017-11-02
Last Update Date 2017-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
6801082564 MI Behavioral Health & Social Service Providers

Office Location

Street Address 30601 CREST FRST
City FARMINGTON HILLS
State MI
Zip Code 48331-1052

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700352804 Lori A Galicki Occupational Therapist 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 2018-10-17
1700372877 Brooke Breann Reed Speech-Language Pathologist 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 2018-07-02
1215473848 Devon Caroline Welling Advanced Practice Midwife 31000 Country Bluff, Farmington Hills, MI 48331 2017-01-06
1780040246 Pamela Moraa Obare Nurse Practitioner 36839 Greenspring St, Farmington Hills, MI 48331 2016-01-13
1427429844 Counseling for The Brain, Body and Spirit, LLC Community/Behavioral Health 36510 Twelve Mile Rd, Farmington Hills, MI 48331 2015-10-12
1538548458 Shavohn Rowser Durable Medical Equipment & Medical Supplies 38657 Lancaster Dr, Farmington Hills, MI 48331 2015-05-26
1851727697 Sidney Lawrence Stone Ophthalmology 28853 Nottoway Drive, Farmington Hills, MI 48331 2013-09-25
1659621159 Jacqueline Kiernan Physical Therapist 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 2012-09-12
1770876476 Elizabeth Anne Clancy Counselor 37875 12 Mile Rd, Farmington Hill, MI 48331 2011-05-27
1902197833 Carla's Companionship & Care LLC Home Health 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 2011-04-26
Find all providers in zip 48331

Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467891432 Sheryl Anne Stumbaugh Social Worker 21289 Whitlock St, Farmington Hills, MI 48336-5179 2013-06-22
1396128237 Sheena Annette Burgess Social Worker 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2015-07-08
1790973667 Emily Jean Woodman Social Worker 23332 Orchard Lake Rd, Suite A, Farmington Hills, MI 48336-3280 2007-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356949390 Livonia Public Schools School District Social Worker 8900 Newburgh Rd, Livonia, MI 48150-3425 2020-10-13
1336756253 Michael Holtzman Social Worker 3008 Brockman Blvd, Ann Arbor, MI 48104-4717 2020-09-24
1023626488 Foadeh Ali Yahya Social Worker 5133 Saint Lawrence St Apt 2, Detroit, MI 48210-2162 2020-07-21
1427682277 Kaylyn Marie Hoy Social Worker 131 Fairview St, Hanover, MI 49241-9702 2020-03-02
1972152569 Alcona Citizens for Health, Inc. Social Worker 375 Wilson St Rm 12a, Alpena, MI 49707-1423 2019-09-06
1568010288 Alcona Citizens for Health, Inc. Social Worker 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 2019-08-27
1962050690 Alcona Citizens for Health, Inc. Social Worker 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 2019-08-27
1104383215 Tara Horton Social Worker 8216 S 35 Rd, Cadillac, MI 49601-8958 2019-02-25
1649753146 Family Medical Center of Michigan,inc Social Worker 13000 Essex Ave Rm 211, Detroit, MI 48215-3243 2018-09-11
1942780077 Jodi Lynn Huizinga Social Worker 356 1/2 N Main, Cedar Springs, MI 49319-9776 2018-08-17
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Competitor

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City FARMINGTON HILLS
Zip Code 48331

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Dataset Information

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.

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