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MRS. KATRINA LYNN STACY LLMSW
NPI 1568116069
Social Worker - Clinical in Portage, MI

Active since February 04, 2022
721 W CENTRE AVE, PORTAGE, MI 49024(269) 779-7577(269) 888-2006 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Katrina Lynn Stacy Llmsw NPPES

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

MRS. KATRINA LYNN STACY LLMSW (NPI 1568116069) is an individual clinical provider in Portage, Michigan, licensed in Michigan (6851110620) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1568116069
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATRINA LYNN STACYCredential: LLMSW
Location Address721 W CENTRE AVEPortage, MI 49024-5309
Mailing Address721 W Centre AvePortage, MI 49024-5309 · (269) 779-7577 · Fax (269) 888-2006
Phone(269) 779-7577
Fax(269) 888-2006
Sole ProprietorNo
Enumeration DateFebruary 4, 2022
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1568116069 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 · 6851110620
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.
721 W CENTRE AVE, Portage, MI 49024
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Other Identifiers 1

Medicaid1407231996MI

Other Providers at the Same Location NPPES 7

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

COURTNEY GRACE WAY LCAT, RDT, LLPC, NCC
Drama Therapist
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 779-7577
KEGAN C MILLER LLMSW
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 548-7206
CENTER FOR COUNSELING AND PSYCHOTHERAPY, PLLC
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 779-7577
BARBARA JOANNE O'ROURKE MSW, LCSW
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 330-7030
KALAMAZOO NEUROFEEDBACK AND COUNSELING CENTER
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 330-7030
MRS. SHERRI LYNN SWINEHART MA, LPC, LMSW
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 779-7577
DANIELLE PAIGE SNOW LMSW-C
Social Worker (Clinical)
721 W CENTRE AVE
PORTAGE, MI 49024
Kalamazoo County (269) 779-7577

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 Katrina Stacy's NPI number?

The NPI number for Katrina Stacy is 1568116069. It was assigned to this individual provider in the NPPES registry on February 4, 2022.

Where is Katrina Stacy located?

Katrina Stacy practices at 721 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 779-7577.

What is Katrina 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 Katrina Stacy was last updated on September 26, 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.