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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679034516

Stacey Perko, MSW, LCSW, SUDC is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3507 N University Ave Ste 350
Provo, UT 84604-6602
Phone: (801) 842-8062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6086382-3501 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6086382-6005 (UT)

Record details

NPI number1679034516
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , SUDC
Sole proprietorYes
NPI enumeratedMarch 25, 2019
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

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