STACEY L PENDZICH LCSW
NPI 1811135205
Social Worker - Clinical in Green Bay, WI

Active since January 23, 2009
1967 SYLVAN DR, GREEN BAY, WI 54313(414) 708-1179 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey L Pendzich Lcsw NPPES

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

STACEY L PENDZICH LCSW (NPI 1811135205) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (7472-123) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1811135205
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY L PENDZICHCredential: LCSW
Location Address1967 SYLVAN DRGreen Bay, WI 54313-4824
Mailing Address1967 Sylvan DrGreen Bay, WI 54313-4824 · (414) 708-1179
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1811135205 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 WI · 7472-123
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.
1967 SYLVAN DR, Green Bay, WI 54313

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 Pendzich's NPI number?

The NPI number for Stacey Pendzich is 1811135205. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Stacey Pendzich located?

Stacey Pendzich practices at 1967 Sylvan Dr, Green Bay, WI 54313. The listed phone number is (414) 708-1179.

What is Stacey Pendzich'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 Stacey Pendzich was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.