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

Stacy Justice, LICSW

Individual provider Clinical Social Worker · NPI 1104307289

Stacy Justice, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

403 Belmont St
Worcester, MA 01604-1019
Phone: (413) 584-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Renaissance Medical Group, Southbridge, MA 01550 — (508) 479-2563

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 120039 (MA)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1104307289
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 27, 2018
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

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