Stacey M Waites, LCSW is a
Social Worker - Clinical based in Jackson, Mississippi. Stacey M Waites is licensed to practice in Mississippi (license number C2016) and her current practice location is
248 E Capitol St, 840 Trust Mark Bldg, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(800) 632-6074.
NPI number for Stacey M Waites is 1427093707 and her current mailing address is 107 Beaver Creek Ln, Vicksburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427093707.
Healthcare Provider's Profile
| Full Name | Stacey M Waites |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 248 E Capitol St, Jackson, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427093707
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 08/16/2007
Medical Identifiers
Medical identifiers for Stacey M Waites such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427093707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C2016 (Mississippi) | Secondary |
| 1041C0700X | Social Worker - Clinical | C2016 (Mississippi) | 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. Stacey M Waites 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 |
|---|
Stacey M Waites, LCSW
107 Beaver Creek Ln,
Vicksburg, MS 39180-9190
Ph: (601) 630-0130 | Stacey M Waites, LCSW
248 E Capitol St, 840 Trust Mark Bldg,
Jackson, MS 39201-2503
Ph: (800) 632-6074 |
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