Kristina Nicole Stacy
Social Worker, Clinical in Sheridan, WY. Individual provider (NPI-1).
NPI number1497463533
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1497463533
- Entity type
- Individual (NPI-1)
- Name
- Kristina Nicole Stacy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2022
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1249 | WY | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1221 W 5th StSheridan, WY 82801-2701
Phone 307-674-4405
Mailing address
1221 W 5th StSheridan, WY 82801-2701
Phone 307-674-4405
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All 80 Clinical Social Worker providers in Sheridan · All 1,327 providers in Sheridan
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