Active NPIIndividual providerSole proprietor

Dr. Stacey Dutil, DSW, LCSW

Social Worker, Clinical in Garfield, New Jersey

NPI Number1528780079
Practice location
70 Krakow St, Garfield, NJ 07026-1427
Fax
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Last updated
September 12, 2022

Stacey Dutil is a Social Worker, Clinical based in Garfield, NJ. Stacey Dutil practices in Garfield, NJ and has the professional credentials of DSW, LCSW. The NPI Number for Stacey Dutil is 1528780079 and holds a License No. 44SC06025300 (NJ). The current practice location address for Stacey Dutil is 70 Krakow St, Garfield, NJ 07026-1427 and can be reached out via phone at 347-463-5297.

Provider Profile Details

NPI Number
1528780079
Provider Name
Stacey Dutil
Credential
DSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
70 Krakow St, Garfield, NJ 07026-1427
Phone Number
347-463-5297
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2022
Last Update Date
September 12, 2022
Certification Date
August 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Krakow St
Garfield, NJ 07026-1427
Zip
07026-1427
Phone Number
347-463-5297
Garfield, NJ 07026Get directions →

Provider Business Mailing Address Details

Address
70 Krakow St
Garfield, NJ 07026-1427
City
Garfield
State
NJ
Zip
07026-1427
Phone Number
347-463-5297

License Information

License Number (1)
44SC06025300
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
088176
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Stacey Dutil, DSW, LCSW?

The NPI number of Dr. Stacey Dutil, DSW, LCSW is 1528780079. It was assigned on September 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey Dutil, DSW, LCSW?

Dr. Stacey Dutil, DSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06025300.

Where does Dr. Stacey Dutil, DSW, LCSW practice?

The practice location is 70 Krakow St, Garfield, NJ 07026-1427. The office can be reached at 347-463-5297 (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 1528780079 directly on the NPPES registry website.

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