Roosevelt Stacy is a Clinical in Rosenberg, Texas. Roosevelt Stacy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roosevelt Stacy is 1093820490. The last update date is 2022-07-21.
Roosevelt Stacy's current location address is 1002 E Stadium Dr, Rosenberg, Texas. You can contact this provider via phone number 2817628383 and fax number 2817628355. The mailing address for Roosevelt Stacy is 1002 E Stadium Dr, Rosenberg, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roosevelt Stacy |
|---|---|
| Address | 1002 E Stadium Dr, Rosenberg, Texas |
| Phone Number | 2817628383 |
| Fax Number | 2817628355 |
| Sole Proprietor | N |
| Credentials | LCSW-S, LM |
NPI Number Detail
| NPI Number | 1093820490 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1002 E Stadium Dr |
|---|---|
| City | Rosenberg |
| State | Texas (TX) |
| Post Code | 774712579 |
| Phone Number | 2817628383 |
| Fax Number | 2817628355 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 50557 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Roosevelt Stacy?
The Roosevelt Stacy has been issued the NPI (National Provider Identifier) 1093820490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Roosevelt Stacy's facilities are geographically located?
The facilities of Roosevelt Stacy are physically situated at the following location: 1002 E Stadium Dr, Rosenberg, TX, 774712579.
What is Roosevelt Stacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Roosevelt Stacy is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Roosevelt Stacy receive the assignment of its 1093820490 from the Centers for Medicare & Medicaid Services?
The Roosevelt Stacy was issued its 1093820490 by the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the information pertaining to Roosevelt Stacy most recently updated or revised?
The details related to Roosevelt Stacy, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.