STACY L MANDZIJ LCSW
NPI 1659890887
Social Worker in Portland, OR

NPI Status: Active since September 19, 2017

Contact Information

1310 SW 17TH AVE
PORTLAND, OR
ZIP 97201
Phone: (503) 231-2641
Fax: (503) 467-4077

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 9
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STACY MANDZIJ

This page provides the complete NPI Profile along with additional information for Stacy Mandzij, a provider established in Portland, Oregon with a medical specialization in Social Worker and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1659890887 assigned on September 2017. The practitioner's primary taxonomy code is 104100000X with license number L8570 (OR). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1659890887
Provider Name
STACY L MANDZIJ LCSW
Other Name
STACIA L MANDZIJ LCSW
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
1310 SW 17TH AVE PORTLAND, OR 97201
Location Phone
(503) 231-2641
Location Fax
(503) 467-4077
Mailing Address
1776 SW MADISON ST PORTLAND, OR 97205
Mailing Phone
(971) 386-2278
Mailing Fax
(503) 467-4077
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
09-19-2017
Last Update Date
10-12-2020
Code Navigator

A social worker like Stacy Mandzij helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
L8570
License State
OR
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Connect 1500 Gold - EPO
  • Connect 5000 Silver - EPO
  • Connect 9200 Bronze - EPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500734958MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Stacy Mandzij is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stacy Mandzij is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133548720

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20201001000272

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for STACY L MANDZIJ LCSW

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659890887
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091690816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 6 + 9 + 0 + 8 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1659890887 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700186376MRS. ZOE KAPLAN PRESLEY M.A.
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1316477441 PATRICK G EAGLE STAFF PWS/QMHP-C
Individual
Peer Specialist1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1245746742 TONYA M JONES CRM/PSS/QMHP-C
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1972127025 KRISTIN A SCHWING QMHA
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1003103359 DONNA M TURQUOISE QMHP-C
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1295096915 NATALIE M MARTIN QMHP-C
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1699203851 ANGELIQUE S SAXTON CRM/PSS/QMHA-I
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1275250599 ASHLEY A COIA QMHP-R
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1306473962 JOANNA MARIE JONES CRM/PSS/QMHA-I
Individual
Counselor (Addiction (Substance Use Disorder))1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1316603053 ANTHONY MICHELL LATHAN CADC-R/QMHP
Individual
Counselor (Addiction (Substance Use Disorder))1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1356058978MR. TATE ALLEN WAGGONER QMHP-R
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1548918691 TARA L RICHARDSON CRM/PSS/QMHA-I
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1114662079 JOHN S ALAM QMHA-I
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1962067470 JEAN MICHELLE STONEBRAKER QMHA-I
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1407211956 SONYA MARIE NEWSTROM CADC I/QMHA-R
Individual
Counselor (Addiction (Substance Use Disorder))1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1427832799 GABRIELA MARIE PADILLA QMHA
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1386340438 LAMAYA T JARRELL PSS/QMHA-R
Individual
Peer Specialist1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1578274296 ROXANNE J HOLLO CRM/QMHA-I
Individual
Counselor (Addiction (Substance Use Disorder))1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1720769276 MARISA MACIAS CRM/QMHA-R
Individual
Counselor (Addiction (Substance Use Disorder))1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641
1760196265 KENDYL L WELKER QMHA-R
Individual
Counselor (Mental Health)1310 SW 17TH AVE
PORTLAND, OR 97201
(503) 231-2641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659890887, enumerated in the NPI registry as an "individual" on September 19, 2017

The provider is located at 1310 Sw 17th Ave Portland, Or 97201 and the phone number is (503) 231-2641

The provider's speciality is Social Worker with taxonomy code 104100000X

The provider has more than 9 years of experience.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on September 19, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.