STACIA LEA FRIDLEY LLMSW
NPI 1386933190
Social Worker in Grand Rapids, MI

Q: What is Stacia Fridley's NPI number?

The NPI number for Stacia Fridley is 1386933190. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Q: What is Stacia Fridley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Stacia Fridley was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 01, 2011PECOS Enrolled

901 EASTERN AVE NE, GRAND RAPIDS, MI 49503(616) 818-4819(616) 284-3263 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacia Lea Fridley Llmsw NPPES

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

STACIA LEA FRIDLEY LLMSW (NPI 1386933190) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801087255) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386933190

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSTACIA LEA FRIDLEYCredential: LLMSW

Location Address901 EASTERN AVE NEGrand Rapids, MI 49503-1201

Mailing Address901 Eastern Ave NeGrand Rapids, MI 49503-1201 · (616) 818-4819 · Fax (616) 284-3263

Phone(616) 818-4819

Fax(616) 284-3263

Sole ProprietorYes

Enumeration DateApril 1, 2011

✔ NPI 1386933190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801087255

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

901 EASTERN AVE NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacia Lea Fridley Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. DANA KAY ANDERSON MA, LLPC

Counselor (Mental Health)