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STACY J NIELSEN, LCSW, LLC
NPI 1861843310
Community/Behavioral Health in Winston, OR

Active since June 27, 2016
11 SW BRANTLEY DR, WINSTON, OR 97496(541) 679-0366 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy J Nielsen, Lcsw, Llc NPPES

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

STACY J NIELSEN, LCSW, LLC (NPI 1861843310) is a healthcare organization registered as a community/behavioral health in Winston, Oregon and active in the NPI registry since June 2016. The organization lists Stacy Jean Nielsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1861843310
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTACY J NIELSEN, LCSW, LLC
Location Address11 SW BRANTLEY DRWinston, OR 97496-4526
Mailing Address11 Sw Brantley DrWinston, OR 97496 · (541) 679-0366
Phone(541) 679-0366
Organization SubpartNo
Authorized OfficialStacy Jean NielsenOwner · (541) 802-6597
Enumeration DateJune 27, 2016
✔ NPI 1861843310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · L6376
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11 SW BRANTLEY DR, Winston, OR 97496
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Other Providers at the Same Location NPPES 7

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

MR. MICHAEL WAYNE SMITH- FERNANDEZ LCSW
Counselor (Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
FUNCTIONAL MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
PAZELY RACHELLE SPENCER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
MRS. RHEA ANN BANDELIER CNP
Nurse Practitioner (Psychiatric/Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
ANN CAREY
Counselor (Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
MS. LISA MARIE JENNINGS MSW,QMHP, CSWA, CADC
Counselor (Addiction (Substance Use Disorder))
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366
NICK MARSHALL PCA
Counselor (Mental Health)
11 SW BRANTLEY DR
WINSTON, OR 97496
Douglas County (541) 679-0366

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 J Nielsen, Lcsw, LLC's NPI number?

The NPI number for Stacy J Nielsen, Lcsw, LLC is 1861843310. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Stacy J Nielsen, Lcsw, LLC located?

Stacy J Nielsen, Lcsw, LLC is located at 11 SW Brantley Dr, Winston, OR 97496. The listed phone number is (541) 679-0366.

What is Stacy J Nielsen, Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Stacy J Nielsen, Lcsw, LLC was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.