STACELYNNE MACK LMSW
NPI 1720590516
Social Worker - School in Farmington Hills, MI

Q: What is Stacelynne Mack's NPI number?

The NPI number for Stacelynne Mack is 1720590516. It was assigned to this individual provider in the NPPES registry on November 2, 2017. The provider is also known as Stacelynne Wallace.

Q: What is Stacelynne Mack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacelynne Mack was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 02, 2017

30601 CREST FRST, FARMINGTON HILLS, MI 48331(248) 506-4065 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stacelynne Mack Lmsw NPPES

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

STACELYNNE MACK LMSW (NPI 1720590516) is an individual school provider in Farmington Hills, Michigan, licensed in Michigan (6801082564) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1720590516

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameSTACELYNNE MACKCredential: LMSW

Location Address30601 CREST FRSTFarmington Hills, MI 48331-1052

Mailing AddressPo Box 47505Oak Park, MI 48237-5205 · (248) 506-4065

Phone(248) 506-4065

Sole ProprietorYes

Enumeration DateNovember 2, 2017

✔ NPI 1720590516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in MI · 6801082564

30601 CREST FRST, Farmington Hills, MI 48331

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Other Names 1

Former Name (1)Stacelynne Wallace

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

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 Stacelynne Mack's NPI number?

The NPI number for Stacelynne Mack is 1720590516. It was assigned to this individual provider in the NPPES registry on November 2, 2017. The provider is also known as Stacelynne Wallace.

Where is Stacelynne Mack located?

Stacelynne Mack practices at 30601 Crest Frst, Farmington Hills, MI 48331. The listed phone number is (248) 506-4065.

What is Stacelynne Mack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

What insurance does Stacelynne Mack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Stacelynne 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 Stacelynne Mack was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.