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ROOSEVELT STACY LCSW-S, LMFT-S
NPI 1093820490
Social Worker - Clinical in Rosenberg, TX

Active since August 19, 2006
1002 E STADIUM DR, ROSENBERG, TX 77471(281) 762-8383(281) 762-8355 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jan 5, 2022 (2 updates tracked since 2022).

About Roosevelt Stacy Lcsw-s, Lmft-s NPPES

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

ROOSEVELT STACY LCSW-S, LMFT-S (NPI 1093820490) is an individual clinical provider in Rosenberg, Texas, licensed in Texas (50557) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093820490
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROOSEVELT STACYCredential: LCSW-S, LMFT-S
Location Address1002 E STADIUM DRRosenberg, TX 77471-2579
Mailing Address1002 E Stadium DrRosenberg, TX 77471-2579 · (281) 762-8383 · Fax (281) 762-8355
Phone(281) 762-8383
Fax(281) 762-8355
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1093820490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 50557
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4979 (TX)
1002 E STADIUM DR, Rosenberg, TX 77471
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.Insurance ›

Other Providers at the Same Location NPPES 3

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

MS. LISA LU KIMMEY-WALKER APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1002 E STADIUM DR
ROSENBERG, TX 77471
Fort Bend County (281) 762-8383
MRS. MELBA ROSE TATUM LCSW, LCDC
Social Worker (Clinical)
1002 E STADIUM DR
ROSENBERG, TX 77471
Fort Bend County (281) 762-8383
MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION
Clinic/Center (Primary Care)
1002 E STADIUM DR
ROSENBERG, TX 77471
Fort Bend County (281) 762-8383

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 Roosevelt Stacy's NPI number?

The NPI number for Roosevelt Stacy is 1093820490. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Roosevelt Stacy located?

Roosevelt Stacy practices at 1002 E Stadium Dr, Rosenberg, TX 77471. The listed phone number is (281) 762-8383.

What is Roosevelt Stacy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Roosevelt Stacy accept?

Health plans from Community Health Choice list Roosevelt Stacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roosevelt Stacy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.