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

Mrs. Katrina Lynn Stacy, LLMSW

Individual provider Clinical Social Worker · NPI 1568116069

Mrs. Katrina Lynn Stacy, LLMSW is a Clinical Social Worker in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

721 W Centre Ave
Portage, MI 49024-5309
Phone: (269) 779-7577
Fax: (269) 888-2006
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 6851110620 (MI)

Record details

NPI number1568116069
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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