Individual provider · Type 1 NPI

Stacy Justice, LICSW

Clinical Social Worker · Worcester, MA

NPI number 1104307289 Active

Practice location

403 Belmont St
Worcester, MA 01604-1019

Call (413) 584-4040 Map

Other practice locations

  • Renaissance Medical Group, 11-15 Saundersdale Road, Southbridge, MA 01550 · (508) 479-2563

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X120039 (MA)
Community/Behavioral Health Agency 251S00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104307289

Stacy Justice, LICSW's National Provider Identifier is 1104307289, issued on Aug 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Nov 25, 2025.