Individual ProviderStacy Ann WettersSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007(248) 372-6800PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Ann Wetters does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1851673990Provider TypeIndividualFull NameWetters, Stacy AnnTitleMissCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date9/14/2011Last Updated9/4/2020Contact InformationPractice LocationPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 372-6800Fax(248) 357-9465Mailing LocationMailing Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 372-6800Fax(248) 357-9465Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense088312New YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801090172Michigan