STACY PETERSON
NPI 1922522838
Social Worker - Clinical in Plymouth, MI

Active since August 01, 2017PECOS Enrolled
9409 N HAGGERTY RD, PLYMOUTH, MI 48170(734) 559-3540 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Peterson NPPES

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

STACY PETERSON (NPI 1922522838) is an individual clinical provider in Plymouth, Michigan, licensed in Michigan (6801089472) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922522838
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY PETERSON
Location Address9409 N HAGGERTY RDPlymouth, MI 48170-4696
Mailing Address9409 N Haggerty RdPlymouth, MI 48170-4696
Sole ProprietorYes
Enumeration DateAugust 1, 2017
NPI 1922522838 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 · 6801089472
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.

9409 N HAGGERTY RD, Plymouth, MI 48170

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacy Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48170 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Psychologist
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker (Clinical)
9409 N HAGGERTY RD
PLYMOUTH, MI 48170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922522838, enumerated as an "individual" on August 01, 2017.

The provider is located at 9409 N HAGGERTY RD PLYMOUTH, MI 48170 and the phone number is (734) 559-3540.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.