OrganizationActive
Stacy J Nielsen, Lcsw, LLC
NPI 1861843310 · Community/Behavioral Health Agency · Winston, OR
Provider details
- NPI number
- 1861843310
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Stacy Nielsen, Owner(541) 802-6597
- License
- L6376 (OR)
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
11 Sw Brantley Dr
Winston, OR 97496-4526
Phone: (541) 679-0366
Street-level locationGet directions
Mailing address
11 Sw Brantley Dr
Winston, OR 97496
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.