Mr. Kellan Jace Stack
LCSW
Social Worker - Clinical
About Mr. Kellan Jace Stack
Mr. Kellan Jace Stack, LCSW, is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1114499811.
Their primary practice is located at 2441 SHOOTING STAR WAY, Evans, Colorado 80620. Patients can reach the office at (970) 689-6388. Mr. Kellan Jace Stack has been NPI-registered since 2018.
Doctor Details
Identity & Credentials
- NPI Number
- 1114499811
- Entity Type
- Individual
- First Name
- Kellan
- Last Name
- Stack
- Credential
- LCSW
- Gender
- Female
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 2441 SHOOTING STAR WAY
- City
- Evans
- State
- Colorado
- ZIP
- 80620-9243
- Country
- United States
- Phone
- (970) 689-6388
Specialty & Taxonomy
- Primary Specialty
- Social Worker - Clinical
- Classification
- Social Worker
- Specialization
- Clinical
- Taxonomy Code
- 1041C0700X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 2441 SHOOTING STAR WAY
- City
- EVANS
- State
- CO
- ZIP
- 806209243
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Mr. Kellan Jace Stack's NPI number?
What does Mr. Kellan Jace Stack specialize in?
Where is Mr. Kellan Jace Stack located?
Does Mr. Kellan Jace Stack accept Medicare?
Does Mr. Kellan Jace Stack offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Kellan Jace Stack is 1114499811.