Provider Demographics
NPI:1346956471
Name:MESSINGER, STACY NICOLE (LMSW)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:NICOLE
Last Name:MESSINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:NICOLE
Other - Last Name:GERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:601 HIGHWAY 6 W # 136B
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2209
Mailing Address - Country:US
Mailing Address - Phone:319-688-6933
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 W # 136B
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2209
Practice Address - Country:US
Practice Address - Phone:319-688-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086298104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker