Mr. Wallace Stacy Jr., LCSW
Social Worker, Clinical in Wilton, Connecticut
1588190862- Practice location
- 21 Richdale Dr Apt A, Wilton, CT 06897-2008
- Phone
- 914-309-6442
- Fax
- —
- Last updated
- May 5, 2017
Wallace Stacy is a Social Worker, Clinical based in Wilton, CT. Wallace Stacy practices in Wilton, CT and has the professional credentials of LCSW. The NPI Number for Wallace Stacy is 1588190862 and holds a License No. 007936 (CT). The current practice location address for Wallace Stacy is 21 Richdale Dr Apt A, Wilton, CT 06897-2008 and can be reached out via phone at 914-309-6442.
Provider Profile Details
- NPI Number
- 1588190862
- Provider Name
- Wallace Stacy
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 21 Richdale Dr Apt A, Wilton, CT 06897-2008
- Phone Number
- 914-309-6442
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 5, 2017
- Last Update Date
- May 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Richdale Dr Apt A
Wilton, CT 06897-2008 - City
- Wilton
- State
- Connecticut
- Zip
- 06897-2008
- Phone Number
- 914-309-6442
Provider Business Mailing Address Details
- Address
- 21 Richdale Dr Apt A
Wilton, CT 06897-2008 - City
- Wilton
- State
- CT
- Zip
- 06897-2008
- Phone Number
- 914-309-6442
License Information
- License Number
- 007936
- License State
- CT
- 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. | |||
Other Social Worker, Clinical providers near Wilton, CT
View all Social Worker, Clinical providers in Wilton →- Alexandra M Bolan, LCSWSocial Worker, Clinical · NPI 1265957872
- Amanda C Hart, LCSWSocial Worker, Clinical · NPI 1558182048
- Barbara Despres, LCSW ACSWSocial Worker, Clinical · NPI 1104972769
- Cathleen M Bearse, LCSWSocial Worker, Clinical · NPI 1295091320
- Christine OlsonSocial Worker, Clinical · NPI 1316312424
- Colleen N Fawcett, LCSWSocial Worker, Clinical · NPI 1679911937
Frequently Asked Questions
What is the NPI number of Mr. Wallace Stacy Jr., LCSW?
The NPI number of Mr. Wallace Stacy Jr., LCSW is 1588190862. It was assigned on May 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Wallace Stacy Jr., LCSW?
Mr. Wallace Stacy Jr., LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007936.
Where does Mr. Wallace Stacy Jr., LCSW practice?
The practice location is 21 Richdale Dr Apt A, Wilton, CT 06897-2008. The office can be reached at 914-309-6442 (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 1588190862 directly on the NPPES registry website.