IndividualActive
Jacob Stacy, LCSW, CSAT
NPI 1750954343 · Clinical Social Worker · Logan, UT
Jacob Stacy, LCSW, CSAT is a Clinical Social Worker provider in Logan, UT (NPI 1750954343).
Provider details
- NPI number
- 1750954343
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CSAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10831025-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 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
40 W Cache Valley Blvd Ste 10a
Logan, UT 84341-8450
Phone: (435) 787-2272
Fax: (435) 713-4001
Street-level locationGet directions
Mailing address
40 W Cache Valley Blvd Ste 10a
Logan, UT 84341-8450
Registry dates
- Enumerated
- 2021-07-21
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Frequently asked questions
- What is Jacob Stacy's NPI number?
- Jacob Stacy's National Provider Identifier (NPI) is 1750954343, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Stacy's specialty?
- Jacob Stacy is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacob Stacy located?
- Jacob Stacy's practice location on file with NPPES is 40 W Cache Valley Blvd Ste 10a, Logan, UT 84341-8450.
- What is Jacob Stacy's phone number?
- The practice phone number listed in the NPPES registry for Jacob Stacy is (435) 787-2272.
- Is Jacob Stacy's NPI active?
- Yes — Jacob Stacy's NPI (1750954343) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.