Active NPIIndividual providerSole proprietor

Stacy Justice, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1104307289
Practice location
403 Belmont St, Worcester, MA 01604-1019
Fax
—
Last updated
November 25, 2025

Stacy Justice is a Social Worker, Clinical based in Worcester, MA. Stacy Justice practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Stacy Justice is 1104307289 and holds a License No. 120039 (MA). The current practice location address for Stacy Justice is 403 Belmont St, Worcester, MA 01604-1019 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1104307289
Provider Name
Stacy Justice
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
403 Belmont St, Worcester, MA 01604-1019
Phone Number
413-584-4040
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Stacy Justice (Former Name)
Provider Enumeration Date
August 27, 2018
Last Update Date
November 25, 2025
Certification Date
November 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
403 Belmont St
Worcester, MA 01604-1019
Zip
01604-1019
Phone Number
413-584-4040
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
403 Belmont St
Worcester, MA 01604-1019
City
Worcester
State
MA
Zip
01604-1019

License Information

License Number (1)
120039
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Community/Behavioral Health · 251S00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Justice, LICSW?

The NPI number of Stacy Justice, LICSW is 1104307289. It was assigned on August 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Stacy Justice, LICSW?

Stacy Justice, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120039.

Where does Stacy Justice, LICSW practice?

The practice location is 403 Belmont St, Worcester, MA 01604-1019. The office can be reached at 413-584-4040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104307289 directly on the NPPES registry website.

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