Stacey M Waites, LCSW is a 
Social Worker - Clinical based in Trego, Montana. Stacey M Waites is licensed to practice in Mississippi (license number C2016) and her current practice location is 
465 Edna Creek, Trego, Montana. She can be reached at her office (for appointments etc.) via phone at 
(601) 831-1965.
NPI number for Stacey M Waites is 1427093707 and her current mailing address is Po Box 513, Trego, Montana. 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 | 465 Edna Creek, Trego, Montana | 
|---|
| 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: 03/20/2025
 			
			
			 
		 
		 
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 | 
		| 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 Po Box 513, Trego, MT 59934-0513 Ph: (601) 831-1965 | Stacey M Waites, LCSW 465 Edna Creek, Trego, MT 39201-2503 Ph: (601) 831-1965 | 
		
		 
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