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MRS. STACEY LEAH DUTRA MSW
NPI 1760909733
Counselor in Nantucket, MA

Active since August 29, 2017
20 VESPER LN, NANTUCKET, MA 02554(508) 228-2689(508) 228-3613 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017 (2 updates tracked since 2017).

About Mrs. Stacey Leah Dutra Msw NPPES

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

MRS. STACEY LEAH DUTRA MSW (NPI 1760909733) is an individual counselor in Nantucket, Massachusetts and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1760909733
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. STACEY LEAH DUTRACredential: MSW
Location Address20 VESPER LNNantucket, MA 02554-4394
Mailing Address20 Vesper LnNantucket, MA 02554-4394 · (508) 228-2689 · Fax (508) 228-3613
Phone(508) 228-2689
Fax(508) 228-3613
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1760909733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
20 VESPER LN, Nantucket, MA 02554
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Other Names 1

Former Name (1)Miss Stacey Leah Saunders

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.

MARY GRAVES
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
ALLISON GAYO
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
JAMES WULFFLEFF
Peer Specialist
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
SHANTOI USHER
Behavior Technician
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
LEAH KOHL
Community Health Worker
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
MICHAEL GETTER
Counselor (Addiction (Substance Use Disorder))
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
SEANNE AILEEN WEBSTER-DAVIS MA
Counselor
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689
MS. SUZANNE MYNTTINEN
Counselor (Mental Health)
20 VESPER LN
NANTUCKET, MA 02554
Nantucket County (508) 228-2689

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 Stacey Dutra's NPI number?

The NPI number for Stacey Dutra is 1760909733. It was assigned to this individual provider in the NPPES registry on August 29, 2017. The provider is also known as Miss Stacey Leah Saunders.

Where is Stacey Dutra located?

Stacey Dutra practices at 20 Vesper Ln, Nantucket, MA 02554. The listed phone number is (508) 228-2689.

What is Stacey Dutra's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stacey Dutra was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.