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STACEY LYNN TISSUE LLBSW
NPI 1043482854
Case Manager/Care Coordinator in Port Huron, MI

Active since April 01, 2008
2875 HENRY ST, PORT HURON, MI 48060(810) 987-9700 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Lynn Tissue Llbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LYNN TISSUE LLBSW (NPI 1043482854) is an individual case manager/care coordinator provider in Port Huron, Michigan, licensed in Michigan (6802086138) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1043482854
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSTACEY LYNN TISSUECredential: LLBSW
Location Address2875 HENRY STPort Huron, MI 48060-2526
Mailing Address4090 Wellman Line RdJeddo, MI 48032-8105
Phone(810) 987-9700
Sole ProprietorNo
Enumeration DateApril 1, 2008
✔ NPI 1043482854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in MI · 6802086138
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2875 HENRY ST, Port Huron, MI 48060
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH COLLEEN INGLES ARNP
Nurse Practitioner (Family)
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 966-7804
HEIDI TARA FOGARTY LMSW
Social Worker (Clinical)
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 987-9700
MARIE NIEDZWIECKI
Massage Therapist
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 987-7050
MS. MAURA MCCARTAN B.A.
Social Worker
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 987-9700
JANE M SHERWOOD
Social Worker
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 987-9700
KAREN ANN SPAGNOLI RN
Registered Nurse
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 966-3566
MRS. JANICE MARIE CHARZYNSKI LPC
Counselor (Professional)
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 966-3590
MRS. LORI L O'HARE LBSW
Social Worker
2875 HENRY ST
PORT HURON, MI 48060
St. Clair County (810) 966-3573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Tissue's NPI number?

The NPI number for Stacey Tissue is 1043482854. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Stacey Tissue located?

Stacey Tissue practices at 2875 Henry St, Port Huron, MI 48060. The listed phone number is (810) 987-9700.

What is Stacey Tissue's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacey Tissue was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.