Roosevelt Stacy, LCSW-S, LMFT-S is a
Social Worker - Clinical based in Rosenberg, Texas. Roosevelt Stacy is licensed to practice in Texas (license number 50557) and his current practice location is
1002 E Stadium Dr, Rosenberg, Texas. He can be reached at his office (for appointments etc.) via phone at
(281) 762-8383.
NPI number for Roosevelt Stacy is 1093820490 and his current mailing address is 1002 E Stadium Dr, Rosenberg, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093820490.
Healthcare Provider's Profile
| Full Name | Roosevelt Stacy |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1002 E Stadium Dr, Rosenberg, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093820490
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Roosevelt Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093820490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 4979 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 50557 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roosevelt Stacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roosevelt Stacy, LCSW-S, LMFT-S
1002 E Stadium Dr,
Rosenberg, TX 77471-2579
Ph: (281) 762-8383 | Roosevelt Stacy, LCSW-S, LMFT-S
1002 E Stadium Dr,
Rosenberg, TX 77471-2579
Ph: (281) 762-8383 |
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