Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Garrett Stacy, LCSW, CSAT

Individual provider Clinical Social Worker · NPI 1750954343

Jacob Garrett Stacy, LCSW, CSAT is a Clinical Social Worker in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

40 W Cache Valley Blvd Ste 10A
Logan, UT 84341-8450
Phone: (435) 787-2272
Fax: (435) 713-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10831025-3501 (UT)

Record details

NPI number1750954343
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CSAT
Sole proprietorYes
NPI enumeratedJuly 21, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

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