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: July 19, 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


The following 7 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174962617, enumerated as an "individual" on June 18, 2013.

The provider is located at 678 FRONT AVE NW GRAND RAPIDS, MI 49504 and the phone number is (616) 916-3711.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.