MR. JOHN JOSEPH STACY MLTDSW, CAC-1
NPI 1912035627
Social Worker - Clinical in Ann Arbor, MI
NPI Status: Active since March 02, 2007
Contact Information
2140 E ELLSWORTH RD
ANN ARBOR, MI
ZIP 48108
Phone: (734) 222-9501
Fax: (734) 971-2487
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About JOHN STACY
This page provides the complete NPI Profile along with additional information for John Stacy, a provider established in Ann Arbor, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1912035627 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 6801087738 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1912035627
- Provider Name
- MR. JOHN JOSEPH STACY MLTDSW, CAC-1
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2140 E ELLSWORTH RD ANN ARBOR, MI 48108
- Location Phone
- (734) 222-9501
- Location Fax
- (734) 971-2487
- Mailing Address
- 555 TOWNER ST PO BOX 915 YPSILANTI, MI 48198
- Mailing Phone
- (734) 544-3000
- Mailing Fax
- (734) 971-2487
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-02-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like John Stacy is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
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 Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6801087738
- License State
- MI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
John Stacy 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48108 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. JOHN JOSEPH STACY MLTDSW, CAC-1
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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. | |||||||||
| 1 | 9 | 1 | 2 | 0 | 3 | 5 | 6 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 3 | 10 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 3 + 1 + 0 + 6 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1912035627 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 |
|---|---|---|---|
| 1033172242 | DR. ELLEN SMITH PERRICCI MD Individual | Psychiatry & Neurology (Psychiatry) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 477-7417 |
| 1821006768 | MRS. KARI TEACH-RICKARD MA LPC Individual | Counselor (Professional) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-9510 |
| 1255485629 | MRS. MARTHA FINKELSTEIN YOUNG NP Individual | Registered Nurse (Psychiatric/Mental Health) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 971-2282 |
| 1902950322 | DANIEL JOSEPH HEALY III MD Individual | Psychiatry & Neurology (Psychiatry) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1740334176 | MICHELLE CHRISTINE SHAUGER MD Individual | Psychiatry & Neurology (Psychiatry) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1124169545 | MR. JOHN P SHOVELS MSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-9512 |
| 1467588434 | MS. DAWN DEE BRAZIL RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 971-2385 |
| 1386770055 | MRS. KELLEY JEAN LEE OTR Individual | Occupational Therapist | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1245366129 | MS. SANDY ANN SNOW LPC,LMSW Individual | Counselor (Professional) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3587 |
| 1336275346 | MRS. KATHLEEN KAY RICKETTS RN Individual | Registered Nurse | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 477-5661 |
| 1265568075 | DEBRA ANN EGGLESTON LMSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3576 |
| 1073649091 | MR. KEVIN MICHAEL DONNELLY RN Individual | Registered Nurse | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1649306697 | MS. FONDA NICO SMITH LMSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1497881841 | MR. KENNETH ANTKOWIAK MS,LLP Individual | Psychologist (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1518093954 | MRS. CARRIE LYNN WARECK LBSW,CAAC,TLLP Individual | Counselor (Addiction (Substance Use Disorder)) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1356477798 | MS. ELLEN MARIE GAVIN RN, BSN Individual | Registered Nurse (Administrator) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1881720241 | MR. WILLIAM J LEADFORD MSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
| 1437287281 | MS. ELIZABETH ANN FREDERICK LMSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-9515 |
| 1104954866 | MR. JEREME C DE LARA SWT Individual | Social Worker | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 971-2282 |
| 1922136761 | MS. ANNE S ROGERS LMSW Individual | Social Worker (Clinical) | 2140 E ELLSWORTH RD ANN ARBOR, MI 48108 (734) 222-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912035627, enumerated in the NPI registry as an "individual" on March 02, 2007
The provider is located at 2140 E Ellsworth Rd Ann Arbor, Mi 48108 and the phone number is (734) 222-9501
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Molina Healthcare. 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).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 02, 2007. 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].
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