Darra L Stack, LCSW
Social Worker, Clinical in Manahawkin, New Jersey
1518536432- Practice location
- 81 Nautilus Dr, Manahawkin, NJ 08050-2448
- Phone
- 732-966-4166
- Fax
- —
- Last updated
- June 24, 2021
Darra Lynn Stack is a Social Worker, Clinical based in Manahawkin, NJ. Darra Lynn Stack practices in Manahawkin, NJ and has the professional credentials of LCSW. The NPI Number for Darra Lynn Stack is 1518536432 and holds a License No. 44SL06415500 (NJ). The current practice location address for Darra Lynn Stack is 81 Nautilus Dr, Manahawkin, NJ 08050-2448 and can be reached out via phone at 732-966-4166.
Provider Profile Details
- NPI Number
- 1518536432
- Provider Name
- Darra Lynn Stack
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 81 Nautilus Dr, Manahawkin, NJ 08050-2448
- Phone Number
- 732-966-4166
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 24, 2021
- Last Update Date
- June 24, 2021
- Certification Date
- June 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Nautilus Dr
Manahawkin, NJ 08050-2448 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2448
- Phone Number
- 732-966-4166
Provider Business Mailing Address Details
- Address
- 65 Oxycocus RD
Manahawkin, NJ 08050-2939 - City
- Manahawkin
- State
- NJ
- Zip
- 08050-2939
- Phone Number
- 609-548-8841
License Information
- License Number
- 44SL06415500
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Darra L Stack, LCSW?
The NPI number of Darra L Stack, LCSW is 1518536432. It was assigned on June 24, 2021 and is currently active in the NPPES registry.
What is the specialty of Darra L Stack, LCSW?
Darra L Stack, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06415500.
Where does Darra L Stack, LCSW practice?
The practice location is 81 Nautilus Dr, Manahawkin, NJ 08050-2448. The office can be reached at 732-966-4166 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518536432 directly on the NPPES registry website.