Individual provider · Type 1 NPI

Susan Michelle Stacy, C-PRSS

Peer Specialist · Mcloud, OK

NPI number 1124511639 Active

Practice location

105365 S Highway 102
Mcloud, OK 74851-3051

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Peer Specialist 175T00000X13205 (OK)
Peer Specialist Primary 175T00000X132075 (OK)

Peer Specialist: 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.

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About NPI 1124511639

Susan Michelle Stacy, C-PRSS's National Provider Identifier is 1124511639, issued on Jun 8, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcloud, OK. The record was last updated on Nov 7, 2022.