IndividualActive
Katrina Stacy, LLMSW
NPI 1568116069 · Clinical Social Worker · Portage, MI
Katrina Stacy, LLMSW is a Clinical Social Worker provider in Portage, MI (NPI 1568116069).
Provider details
- NPI number
- 1568116069
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6851110620 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
721 W Centre Ave
Portage, MI 49024-5309
Phone: (269) 779-7577
Fax: (269) 888-2006
Street-level locationGet directions
Mailing address
721 W Centre Ave
Portage, MI 49024-5309
Registry dates
- Enumerated
- 2022-02-04
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Katrina Stacy's NPI number?
- Katrina Stacy's National Provider Identifier (NPI) is 1568116069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katrina Stacy's specialty?
- Katrina Stacy is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Katrina Stacy located?
- Katrina Stacy's practice location on file with NPPES is 721 W Centre Ave, Portage, MI 49024-5309.
- What is Katrina Stacy's phone number?
- The practice phone number listed in the NPPES registry for Katrina Stacy is (269) 779-7577.
- Is Katrina Stacy's NPI active?
- Yes — Katrina Stacy's NPI (1568116069) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.