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

Individual provider Clinical Social Worker · NPI 1033648811

MS. Mikayla Sue Stakolosa, LLMSW is a Clinical Social Worker in Saginaw, Michigan. Qualified in 2017, 9 years ago. Practices with List Psychological Services, PLC, a 28-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

5024 N Center Rd
Saginaw, MI 48604-9412
Phone: (989) 790-3130
Fax: (989) 790-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1033648811
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESApril 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice List Psychological Services, Plc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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