Provider Demographics
NPI:1174145247
Name:ALLEY, STACI C (LCSW)
Entity type:Individual
Prefix:
First Name:STACI
Middle Name:C
Last Name:ALLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 W YALE AVE
Mailing Address - Street 2:B-210-3
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3465
Mailing Address - Country:US
Mailing Address - Phone:720-472-1149
Mailing Address - Fax:
Practice Address - Street 1:7550 W YALE AVE
Practice Address - Street 2:B-210-3
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3465
Practice Address - Country:US
Practice Address - Phone:720-472-1149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00099244471041C0700X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician