Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy M Wynn

Individual provider Clinical Social Worker · NPI 1891083549

Stacy M Wynn is a Clinical Social Worker in Capac, Michigan. Qualified in 2010, 16 years ago. Practices with Blue Water Mental Health Clinic, a 23-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011

Practice location Address checks out

14960 E Park St
Capac, MI 48014-3177
Phone: (810) 395-4343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801092800 (MI)

Record details

NPI number1891083549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2011
Last updated in NPPESJuly 15, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Blue Water Mental Health Clinic — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Capac