MS. STACEY MICHELLE MACK MSW
NPI 1407017239
Social Worker - Clinical in Ypsilanti, MI

Q: What is Stacey Mack's NPI number?

The NPI number for Stacey Mack is 1407017239. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as Ms. Stacey Michelle Mack-Cameron Msw.

Q: What is Stacey Mack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Mack was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 24, 2008PECOS Enrolled

3150 PACKARD RD, YPSILANTI, MI 48197(734) 879-0162(734) 879-0167 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Stacey Michelle Mack Msw NPPES

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

MS. STACEY MICHELLE MACK MSW (NPI 1407017239) is an individual clinical provider in Ypsilanti, Michigan, licensed in Michigan (6801081771) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407017239

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. STACEY MICHELLE MACKCredential: MSW

Location Address3150 PACKARD RDYpsilanti, MI 48197-1994

Mailing Address3150 Packard RdYpsilanti, MI 48197-1994 · (734) 879-0162 · Fax (734) 879-0167

Phone(734) 879-0162

Fax(734) 879-0167

Sole ProprietorNo

Enumeration DateJune 24, 2008

Last NPPES UpdateJuly 25, 2016

✔ NPI 1407017239 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 · 6801081771

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.

3150 PACKARD RD, Ypsilanti, MI 48197

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Other Names 1

Former Name (1)Ms. Stacey Michelle Mack-cameron Msw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Ms. Stacey Michelle Mack Msw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

VITALIS IM

Social Worker (Clinical)