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STACY M WYNN
NPI 1891083549
Social Worker - Clinical in Capac, MI

Active since July 15, 2011PECOS EnrolledAccepts Medicare Assignment
14960 E PARK ST, CAPAC, MI 48014(810) 395-4343 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy M Wynn NPPES

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

STACY M WYNN (NPI 1891083549) is an individual clinical provider in Capac, Michigan, licensed in Michigan (6801092800) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891083549
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY M WYNN
Location Address14960 E PARK STCapac, MI 48014-3177
Mailing Address4055 Aletha LnPort Huron, MI 48060-1769 · (810) 334-1828
Phone(810) 395-4343
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 15, 2011
✔ NPI 1891083549 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 MI · 6801092800
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.
14960 E PARK ST, Capac, MI 48014
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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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy M Wynn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476863788
PECOS Enrollment IDI20151116002643
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MARNEY BETH STUDAKER-CORDNER LMSW
Social Worker (Clinical)
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 966-3564
SUSAN KAY KRAFT LMSW
Social Worker (Clinical)
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-4343
MRS. TRACY ANN MATTHEWS LMSW
Social Worker (Clinical)
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-4343
DR. ROBERT CHARLES GLAPINSKI D.O.
Family Medicine
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-1610
CAPAC FAMILY MEDICINE
Clinic/Center (Primary Care)
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 310-1783
MS. KAREN SUE KOPKA LMSW
Counselor (Mental Health)
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-4343
ANTHONY CAREY FIORAVANTI
Community Health Worker
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-4343
MR. ANDREW GOODMAN
Adult Companion
14960 E PARK ST
CAPAC, MI 48014
St. Clair County (810) 395-4343

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 Wynn's NPI number?

The NPI number for Stacy Wynn is 1891083549. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Where is Stacy Wynn located?

Stacy Wynn practices at 14960 E Park St, Capac, MI 48014. The listed phone number is (810) 395-4343.

What is Stacy Wynn's specialty?

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

Is Stacy Wynn enrolled in Medicare?

Yes. Stacy Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacy Wynn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Stacy Wynn 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 Stacy Wynn was last updated on July 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.