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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intentional Counseling Services
2.3 mi
Community/Behavioral Health
2142A WASHTENAW RD
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
NPI 1427427814 (734) 879-0162

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (248) 581-8777
DR. SHI-YU TAN MD
General Practice
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 276-7096
ANGELA MASINDE MA, LLPC, ATR-P
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
LINCOLN HOME HEALTH SERVICES, LLC
Home Health
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (313) 415-0058
JENNIFER BLOUGH LLPC
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
DEEPWATER COUNSELING, PLLC
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 203-0183
AMBER NICOLE HUGHSON LLMSW
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (248) 581-8777
VISITING PHYSICIANS ASSOCIATES PC
General Practice
3150 PACKARD RD
YPSILANTI, MI 48197
Washtenaw County (734) 477-9030

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 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.

Where is Stacey Mack located?

Stacey Mack practices at 3150 Packard Rd, Ypsilanti, MI 48197. The listed phone number is (734) 879-0162.

What is Stacey Mack's specialty?

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

Is Stacey Mack enrolled in Medicare?

Yes. Stacey Mack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Mack reassigns Medicare benefits to Intentional Counseling Services (Ypsilanti, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Mack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Stacey Mack 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 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.