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STACIA WALLACE
NPI 1942834163
Case Manager/Care Coordinator in Ann Arbor, MI

Active since February 26, 2020
2500 PACKARD ST, ANN ARBOR, MI 48104(586) 243-6466 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, Feb 26, 2020 (2 updates tracked since 2020).

About Stacia Wallace NPPES

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

STACIA WALLACE (NPI 1942834163) is an individual case manager/care coordinator provider in Ann Arbor, Michigan and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1942834163
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSTACIA WALLACE
Location Address2500 PACKARD STAnn Arbor, MI 48104-6827
Mailing Address526 W Centre AvePortage, MI 49024-5306
Phone(586) 243-6466
Sole ProprietorYes
Enumeration DateFebruary 26, 2020
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1942834163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2500 PACKARD ST, Ann Arbor, MI 48104
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Other Providers at the Same Location NPPES 13

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

AVA ALEXANDRA ROBBINS
Social Worker (Clinical)
2500 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (313) 242-7412
DR. MARY A. NEWTON LMSW, PHD
Counselor (Mental Health)
2500 PACKARD ST, 104A
ANN ARBOR, MI 48104
Washtenaw County (734) 846-3172
BRODY MANTHA
Social Worker (Clinical)
2500 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (734) 277-7565
ERIN IRENE ROSS
Behavior Analyst
2500 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (269) 321-9556
COMFORCARE SENIOR SERVICES
In Home Supportive Care
2500 PACKARD ST, SUITE #205
ANN ARBOR, MI 48104
Washtenaw County (734) 330-2960
ROSE BENJAMIN
Social Worker (Clinical)
2500 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (734) 604-0482
SERENITY MATERNAL INFANT HEALTH PROGRAM, INC.
Case Management
2500 PACKARD ST, SUITE 104
ANN ARBOR, MI 48104
Washtenaw County (734) 441-1503
DESTINY COPELAND
Behavior Analyst
2500 PACKARD ST
ANN ARBOR, MI 48104
Washtenaw County (269) 321-9556

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 Stacia Wallace's NPI number?

The NPI number for Stacia Wallace is 1942834163. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Stacia Wallace located?

Stacia Wallace practices at 2500 Packard St, Ann Arbor, MI 48104. The listed phone number is (586) 243-6466.

What is Stacia Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacia Wallace was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.