Provider Demographics
NPI:1730495409
Name:STACEY MCFARLAND LICSW PLLC
Entity Type:Organization
Organization Name:STACEY MCFARLAND LICSW PLLC
Other - Org Name:STACEY L. MCFARLAND, MSW, LICSW, BCD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:206-369-1368
Mailing Address - Street 1:1000 2ND AVE STE 3950
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1075
Mailing Address - Country:US
Mailing Address - Phone:206-369-1368
Mailing Address - Fax:888-972-4091
Practice Address - Street 1:1000 2ND AVE STE 3950
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1075
Practice Address - Country:US
Practice Address - Phone:206-369-1368
Practice Address - Fax:888-972-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 00004202261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)