Healthcare Provider Details

I. General information

NPI: 1023943826
Provider Name (Legal Business Name): STACIE JEAN ARNEY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6725 W 84TH WAY APT 70
ARVADA CO
80003-1125
US

IV. Provider business mailing address

6725 W 84TH WAY APT 70
ARVADA CO
80003-1125
US

V. Phone/Fax

Practice location:
  • Phone: 314-461-5692
  • Fax:
Mailing address:
  • Phone: 314-461-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927508
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: