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STACY L MANDZIJ LCSW
NPI 1659890887
Social Worker - Clinical in Portland, OR

Active since September 19, 2017PECOS EnrolledAccepts Medicare Assignment
1310 SW 17TH AVE, PORTLAND, OR 97201(503) 231-2641(503) 467-4077 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Oct 12, 2020, Jul 2, 2020 and 3 more (6 updates tracked since 2017).

About Stacy L Mandzij Lcsw NPPES

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

STACY L MANDZIJ LCSW (NPI 1659890887) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L8570) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659890887
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY L MANDZIJCredential: LCSW
Location Address1310 SW 17TH AVEPortland, OR 97201-2522
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (971) 386-2278 · Fax (503) 224-4494
Phone(503) 231-2641
Fax(503) 467-4077
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2017
Last NPPES UpdateMarch 13, 20266 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1659890887 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 OR · L8570
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.
1310 SW 17TH AVE, Portland, OR 97201
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Other Names 1

Other Name (5)Stacia L Mandzij Lcsw

Other Identifiers 1

Medicaid500734958OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 and accepts Medicare assignment

Stacy L Mandzij Lcsw 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 ID9133548720
PECOS Enrollment IDI20201001000272
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 Stacy Mandzij reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
119 mi
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group
NPI 1912008178 (253) 752-7320

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 97201 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

DONNA M TURQUOISE QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
KAY M COCKERILL QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JOHN S ALAM QMHA-I
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MRS. BRANDY MICHELLE REMPEL CRM
Counselor (Addiction (Substance Use Disorder))
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
AMY A THOMPSON QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MARK JS TRUJILLO CADCR CRM PSS QMHA-I
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
CHARLES ANNICH PSS/CRM
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
TONYA M JONES CRM/PSS/QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641

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 Stacy Mandzij's NPI number?

The NPI number for Stacy Mandzij is 1659890887. It was assigned to this individual provider in the NPPES registry on September 19, 2017. The provider is also known as Stacia L Mandzij Lcsw.

Where is Stacy Mandzij located?

Stacy Mandzij practices at 1310 SW 17th Ave, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Stacy Mandzij's specialty?

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

Is Stacy Mandzij enrolled in Medicare?

Yes. Stacy Mandzij 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.

Which organization bills Medicare for Stacy Mandzij's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Mandzij reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Stacy Mandzij's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Mandzij accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Stacy Mandzij 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 Stacy Mandzij was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.