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

Individual provider Clinical Social Worker · NPI 1922522838

Stacy Peterson is a Clinical Social Worker in Plymouth, Michigan. Qualified in 1996, 30 years ago. Practices with Transformational Services LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

9409 N Haggerty Rd
Plymouth, MI 48170-4696
Phone: (734) 559-3540
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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 · Licence 6801089472 (MI)

Record details

NPI number1922522838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2017
Last updated in NPPESAugust 1, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Transformational Services Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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