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KRISTINA NICOLE STACY
NPI 1497463533
Social Worker - Clinical in Sheridan, WY

Active since November 08, 2022
1221 W 5TH ST, SHERIDAN, WY 82801(307) 674-4405 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, May 13, 2025, Nov 8, 2022 (3 updates tracked since 2022).

About Kristina Nicole Stacy NPPES

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

KRISTINA NICOLE STACY (NPI 1497463533) is an individual clinical provider in Sheridan, Wyoming, licensed in Wyoming (1249) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1497463533
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA NICOLE STACY
Location Address1221 W 5TH STSheridan, WY 82801-2701
Mailing Address1221 W 5th StSheridan, WY 82801-2701 · (307) 674-4405
Phone(307) 674-4405
Sole ProprietorNo
Enumeration DateNovember 8, 2022
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1497463533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · 1249
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1221 W 5TH ST, Sheridan, WY 82801
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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.

VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Clinic/Center (Rehabilitation, Substance Use Disorder)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
PAMELA KATE KENNEDY MSW, LCSW
Social Worker (Clinical)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
BRENT WEAVER
Peer Specialist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
MR. NORMAN WILLIAM FISH JR. L.P.C.
Counselor (Professional)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
AMBER ANELLI
Peer Specialist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
JUDITH WALLACE MAC, LAT
Counselor (Professional)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
CASSIDY HOPE
Community Health Worker
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
DR. CAROL A. PASTORE-WATKINS PHD
Psychologist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405

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 Kristina Stacy's NPI number?

The NPI number for Kristina Stacy is 1497463533. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Kristina Stacy located?

Kristina Stacy practices at 1221 W 5th St, Sheridan, WY 82801. The listed phone number is (307) 674-4405.

What is Kristina Stacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristina Stacy was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.