Individual
STACY ANN PLUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WI
1041C0700X
Clinical Social Worker
Primary
11082-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135305
—
WI
01
—
14965271
CAQH ID
—
Enumeration date
09/10/2020
Last updated
01/20/2026
Update your record
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