Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124511639 Individual Practitioner Female Practitioner

Susan Michelle Stacy , C-PRSS

Peer Specialist • Mcloud, OK

Professional Overview & Biography Verified Profile Summary

Susan Stacy, C-PRSS is a registered healthcare professional specializing in Peer Specialist in Mcloud, OK. Practice services are available at 105365 S HIGHWAY 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105365 S Highway 102

Mcloud, OK 748513051

Telephone 4059882071

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Mcloud, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Mcloud, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-11-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OK 132075

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Social Worker

NUCC Taxonomy Code: 104100000X

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OK 13205

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Christine Pacheco , LCSW

Social Worker - Clinical

NPI 1033631429

Licensed Clinical Social Worker

Gabriela Smith , LCSW

Social Worker - Clinical

NPI 1114545167

Licensed Clinical Social Worker

Daley Tearl , LMFT, LADC

Marriage & Family Therapist

NPI 1114947082

Licensed Marriage and Family Therapist, Licensed Alcohol and Drug Counselor

Carla Sumano

Case Manager/Care Coordinator

NPI 1134065162
NPI 1134905979

Doctor of Pharmacy (Pharm.D.)

Masumah Amil

Pharmacist

NPI 1205452166

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 07, 2022

Registered at 105365 S HIGHWAY 102, MCLOUD, OK 748513051 (Tel: 4059882071)

📍
Updated Business Mailing Address November 07, 2022

Registered at 105365 S HIGHWAY 102, MCLOUD, OK 748513051 (Tel: 4059882071)

👤
Provider Name / Credentials Updated November 07, 2022

Recorded as SUSAN STACY, C-PRSS

NPI Profile Active June 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2018

Registered at 922 W HINCHLEY ST, MCLOUD, OK 748518032 (Tel: 9189467785)

📍
Updated Business Mailing Address June 08, 2018

Registered at 922 W HINCHLEY ST, MCLOUD, OK 748518032 (Tel: 9189467785)

👤
Provider Name / Credentials Updated June 08, 2018

Recorded as SUSAN ALEXANDER, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Social Worker

🟢
Initial NPI Registration & Enumeration June 08, 2018

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: 1124511639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2018
Last Update: November 07, 2022
Sole Proprietor: No

Mailing Address

105365 S Highway 102

Mcloud, OK 748513051

Phone: 4059882071

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.