Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLAN JACE STACK, LCSW
ActiveClinical Social Worker · EVANS, CO
Registration Details
- NPI Number
- 1114499811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2018 (7.336062608069 yrs)
- Last Updated
- Jul 1, 2025
- License
-
CSW.09930278 (CO)
Practice Information
- Address
-
2441 SHOOTING STAR WAYEVANS, CO, 806209243Browse CO providers · Browse ZIP 80620
- Phone
- 9706896388
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EVANS, CO
| Name | Credential | NPI |
|---|---|---|
| MARIA S DIAZ | LCSW, CAC III | 1588769335 |
| PAULETTE TARNASKY | LCSW | 1932293354 |
| JENNIFER L MILLER | LCSW | 1386040871 |
| ESTHER AGUILA | MSW | 1063806685 |
| MRS. YARICZA EMMA CASTANEDA | MSW, LCSW | 1750050258 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.