STACY LYN BLACKWELL LMSW
NPI 1174962617
Social Worker - Clinical in Grand Rapids, MI

Active since June 18, 2013
678 FRONT AVE NW, GRAND RAPIDS, MI 49504(616) 916-3711(616) 825-6015 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy Lyn Blackwell Lmsw NPPES

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

STACY LYN BLACKWELL LMSW (NPI 1174962617) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801095510) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1174962617
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY LYN BLACKWELLCredential: LMSW
Location Address678 FRONT AVE NWGrand Rapids, MI 49504-5325
Mailing Address3122 Clyde Park Ave SwWyoming, MI 49509-2918 · (989) 802-9583
Fax(616) 825-6015
Sole ProprietorNo
Enumeration DateJune 18, 2013
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
NPI 1174962617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801095510
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.
678 FRONT AVE NW, Grand Rapids, MI 49504

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Psychologist (Counseling)
678 FRONT AVE NW, SUITE 265
GRAND RAPIDS, MI 49504
Psychiatry & Neurology (Psychiatry)
678 FRONT AVE NW, SUITE 365
GRAND RAPIDS, MI 49504
Counselor (Professional)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Psychiatry & Neurology (Psychiatry)
678 FRONT AVE NW, SUITE 365
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Durable Medical Equipment & Medical Supplies
678 FRONT AVE NW, SUITE 135
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504

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 Blackwell's NPI number?

The NPI number for Stacy Blackwell is 1174962617. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Stacy Blackwell located?

Stacy Blackwell practices at 678 Front Ave NW, Grand Rapids, MI 49504. The listed phone number is (616) 916-3711.

What is Stacy Blackwell's specialty?

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

What insurance does Stacy Blackwell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Stacy Blackwell 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 Blackwell was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.