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JACOB GARRETT STACY LCSW, CSAT
NPI 1750954343
Social Worker - Clinical in Logan, UT

Active since July 21, 2021
40 W CACHE VALLEY BLVD STE 10A, LOGAN, UT 84341(435) 787-2272(435) 713-4001 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Garrett Stacy Lcsw, Csat NPPES

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

JACOB GARRETT STACY LCSW, CSAT (NPI 1750954343) is an individual clinical provider in Logan, Utah, licensed in Utah (10831025-3501) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1750954343
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB GARRETT STACYCredential: LCSW, CSAT
Location Address40 W CACHE VALLEY BLVD STE 10ALogan, UT 84341-8450
Mailing Address40 W Cache Valley Blvd Ste 10aLogan, UT 84341-8450 · (435) 787-2272 · Fax (435) 713-4001
Phone(435) 787-2272
Fax(435) 713-4001
Sole ProprietorYes
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1750954343 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 UT · 10831025-3501
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.
40 W CACHE VALLEY BLVD STE 10A, Logan, UT 84341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 2

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

MR. BRAD KELSTROM LCSW
Social Worker (Clinical)
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341
Cache County (435) 787-2272
BEHAVIORAL MENTAL HEALTH SERVICES, PC
Community/Behavioral Health
40 W CACHE VALLEY BLVD STE 10A
LOGAN, UT 84341
Cache County (435) 787-2272

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 Jacob Stacy's NPI number?

The NPI number for Jacob Stacy is 1750954343. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Jacob Stacy located?

Jacob Stacy practices at 40 W Cache Valley Blvd Ste 10A, Logan, UT 84341. The listed phone number is (435) 787-2272.

What is Jacob Stacy's specialty?

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

What insurance does Jacob Stacy accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Jacob Stacy 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 Jacob Stacy was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.