Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750505855 Individual Practitioner Female Practitioner

Stacey Lynn Casanova , LMSW

Social Worker • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Stacey Casanova, LMSW is a registered healthcare professional specializing in Social Worker in Jackson, MI. Practice services are available at 1200 N WEST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 N West Ave
Suite 800

Jackson, MI 492022179

Telephone 5177803304
Fax 5177871765
Associated Practice Facility / Clinic
🏢 Recovery Technology Llc Facility NPI 1144259094

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
171 Specialists

Practicing in Jackson, MI (9360 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801079359

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Social Work License
6801079359 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Hannah Duran

Social Worker - Clinical

NPI 1043601362
Heidi Vinaske

Social Worker

NPI 1063889434
Linda Harvey , LBSW

Social Worker - Clinical

NPI 1194073890
Rebecca Davis , BSW

Social Worker

NPI 1205202777

Bachelor of Social Work

Sandra Stephenson

Social Worker

NPI 1265841688
Jamie Horning

Social Worker

NPI 1285031443

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2010

Registered at 1200 N WEST AVE, SUITE 800, JACKSON, MI 492022179 (Tel: 5177803304)

📍
Updated Business Mailing Address June 23, 2010

Registered at 3801 FAIRVIEW AVE, JACKSON, MI 492032409 (Tel: 5173921268)

👤
Provider Name / Credentials Updated June 23, 2010

Recorded as STACEY CASANOVA, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2010

Social Worker (License #6801079359 in MI)

🟢
Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750505855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: June 23, 2010
Sole Proprietor: Yes

Mailing Address

3801 Fairview Ave

Jackson, MI 492032409

Phone: 5173921268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.