Provider Demographics
NPI:1548339468
Name:MCFARLAND, STACEY LEE (MSW, LICSW, BCD)
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:LEE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MSW, LICSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000042021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
8851858Medicare ID - Type Unspecified