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STACY JUSTICE LICSW
NPI 1104307289
Social Worker - Clinical in Worcester, MA

Active since August 27, 2018
403 BELMONT ST, WORCESTER, MA 01604(413) 584-4040 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Sep 25, 2024, Aug 27, 2018 (3 updates tracked since 2018).

About Stacy Justice Licsw NPPES

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

STACY JUSTICE LICSW (NPI 1104307289) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (120039) and active in the NPI registry since August 2018. She maintains a secondary practice location in Southbridge.

NPPES Registry Identity

NPI1104307289
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY JUSTICECredential: LICSW
Location Address403 BELMONT STWorcester, MA 01604-1019
Mailing Address403 Belmont StWorcester, MA 01604-1019
Phone(413) 584-4040
Sole ProprietorYes
Enumeration DateAugust 27, 2018
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1104307289 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 MA · 120039
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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
403 BELMONT ST, Worcester, MA 01604
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Other Names 1

Former Name (1)Stacy Justice

Secondary Practice Location 1

Location 1Renaissance Medical Group, 11-15 Saundersdale RoadSouthbridge, MA 01550 · Phone (508) 479-2563

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

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

JULIE ANN RIZZOLO FNP-C
Nurse Practitioner
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (508) 856-0104
DARECK HUBBELL
Social Worker (Clinical)
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (413) 342-2288
SARAH JOY HARTMAN
Student in an Organized Health Care Education/Training Program
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (413) 584-4040
CAROL ANN WARD
Social Worker
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (413) 885-2584
JACQUELINE MARIE YANG
Social Worker (Clinical)
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (508) 641-9238
QUE N NGUYEN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (800) 893-1522
DR. MIGUEL OLMEDO DNP
Nurse Practitioner
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (508) 425-2500
MR. VICTOR ISAAC MILBERG R.PH LMSW LCSW
Social Worker (Clinical)
403 BELMONT ST
WORCESTER, MA 01604
Worcester County (413) 463-1745

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 Stacy Justice's NPI number?

The NPI number for Stacy Justice is 1104307289. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Stacy Justice located?

Stacy Justice practices at 403 Belmont St, Worcester, MA 01604. The listed phone number is (413) 584-4040.

What is Stacy Justice's specialty?

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

What insurance does Stacy Justice accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Stacy Justice 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 Stacy Justice was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.