John Stacy, MLTDSW, CAC-1
NPI 1912035627 · Clinical Social Worker · Ann Arbor, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Stacy, MLTDSW, CAC-1 is a Clinical Social Worker provider in Ann Arbor, MI (NPI 1912035627).
Provider details
- NPI number
- 1912035627
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MLTDSW, CAC-1
- Sex
- Male
- Sole proprietor
- No
- License
- 6801087738 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Stacy's NPI number?
- John Stacy's National Provider Identifier (NPI) is 1912035627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Stacy's specialty?
- John Stacy is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is John Stacy located?
- John Stacy's practice location on file with NPPES is 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552.
- What is John Stacy's phone number?
- The practice phone number listed in the NPPES registry for John Stacy is (734) 222-9501.
- Does John Stacy accept Medicare?
- John Stacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Stacy's NPI active?
- Yes — John Stacy's NPI (1912035627) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.