STACEY LYNN PORRECA – Counselor, NPI 1396905386

STACEY LYNN PORRECA is a healthcare provider. based in Westland, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801068161 (MI). The NPI Number for STACEY LYNN PORRECA is 1396905386

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
STACEY LYNN PORRECA
NPI
1396905386
Phone
(734) 405-0176
Address
1547 S WAYNE RD
Enumeration Date
12 June 2008
Last Update Date
12 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347293133
Graduation Year
1994 (32 years ago)
PAC ID
0941446033
Group Practice PAC ID
4183885593
Professional Enrollment ID
I20130416000247
Address ID
MI481865436WE1547XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for STACEY LYNN PORRECA

  • 1547, South Wayne Road, Westland, Wayne County, Michigan, 48186, United States

    WESTLAND, MI 48181

    Phone: (734) 405-0176

    Fax: (734) 404-0184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130416000247IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12911$0
View full utilization report →

Insurance plans in this area (ZIP 48181)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183885593View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
P S Y C H I A T R YMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Psychiatry, Addiction MedicineMI

Reviews

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Frequently asked questions

How is STACEY LYNN PORRECA identified in CMS data?
CMS-hosted NPPES data lists STACEY LYNN PORRECA with NPI 1396905386.
Can I rely on STACEY LYNN PORRECA being an active provider?
As of the registry snapshot, STACEY LYNN PORRECA is marked active.
What taxonomy line describes STACEY LYNN PORRECA?
For research purposes, treat STACEY LYNN PORRECA as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STACEY LYNN PORRECA?
STACEY LYNN PORRECA's geographic hint is Westland, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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