Bancroft, Stacy Lynn

Bancroft, Stacy Lynn is an individual health care provider with primary practice located at 3415 Se Powell Blvd. , Portland OR 97202. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bancroft, Stacy Lynn can be contacted via phone (503) 234-9591.

Contact Information

Primary practice address
3415 Se Powell Blvd. Portland OR 97202
Phone: (503) 234-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Social Worker 104100000X L5777 Oregon

Profile Details

NPI number 1023298627
LBN Legal business name Bancroft, Stacy Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Jun 27th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023298627 NPPES
Oregon MEDICAID 500656365

Popular Providers