MS. THERESA DAWN STACK LMSW
NPI 1427251909
Social Worker - Clinical in Traverse City, MI

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
512 S UNION ST, TRAVERSE CITY, MI 49684(231) 941-6550(231) 941-8981 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Theresa Dawn Stack Lmsw NPPES

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

MS. THERESA DAWN STACK LMSW (NPI 1427251909) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801019505) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1427251909
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERESA DAWN STACKCredential: LMSW
Location Address512 S UNION STTraverse City, MI 49684-3247
Mailing Address512 S Union StTraverse City, MI 49684-3247 · (231) 941-6550 · Fax (231) 941-8981
Fax(231) 941-8981
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1427251909 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 · 6801019505
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.

512 S UNION ST, Traverse City, MI 49684

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Theresa Dawn Stack Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638314743
PECOS Enrollment IDI20130320000443
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
80 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 13

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

Psychologist
512 S UNION ST
TRAVERSE CITY, MI 49684
Psychologist (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684
Psychologist (Cognitive & Behavioral)
512 S UNION ST
TRAVERSE CITY, MI 49684
Psychologist
512 S UNION ST
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
512 S UNION ST
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
512 S UNION ST
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
512 S UNION ST
TRAVERSE CITY, MI 49684

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 Theresa Stack's NPI number?

The NPI number for Theresa Stack is 1427251909. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Theresa Stack located?

Theresa Stack practices at 512 S Union St, Traverse City, MI 49684. The listed phone number is (231) 941-6550.

What is Theresa Stack's specialty?

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

Is Theresa Stack enrolled in Medicare?

Yes. Theresa Stack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Stack 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 2 other insurers list Theresa Stack 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 Theresa Stack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.