Active NPIIndividual provider

Mr. Stacy Moraldo, LMSW

Social Worker, Clinical in Mount Vernon, New York

NPI Number1659575322
Practice location
107 West 4TH Street, Mount Vernon, NY 10550
Fax
914-699-0837
Last updated
January 6, 2020

Stacy Moraldo is a Social Worker, Clinical based in Mount Vernon, NY. Stacy Moraldo practices in Mount Vernon, NY and has the professional credentials of LMSW. The NPI Number for Stacy Moraldo is 1659575322 and holds a License No. 076119 (NY). The current practice location address for Stacy Moraldo is 107 West 4TH Street, Mount Vernon, NY 10550 and can be reached out via phone at 914-699-7200 and via fax at 914-699-0837.

Provider Profile Details

NPI Number
1659575322
Provider Name
Stacy Moraldo
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
107 West 4TH Street, Mount Vernon, NY 10550
Phone Number
914-699-7200
Fax Number
914-699-0837
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2007
Last Update Date
January 6, 2020
Certification Date
January 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 West 4TH Street
Mount Vernon, NY 10550
Zip
10550
Phone Number
914-699-7200
Fax Number
914-699-0837
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
107 West 4TH Street
Mount Vernon, NY 10550
City
Mount Vernon
State
NY
Zip
10550
Phone Number
914-699-7200
Fax Number
914-699-0837

License Information

License Number
076119
License State
NY
Taxonomy
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 Mr. Stacy Moraldo, LMSW?

The NPI number of Mr. Stacy Moraldo, LMSW is 1659575322. It was assigned on June 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Stacy Moraldo, LMSW?

Mr. Stacy Moraldo, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 076119.

Where does Mr. Stacy Moraldo, LMSW practice?

The practice location is 107 West 4TH Street, Mount Vernon, NY 10550. The office can be reached at 914-699-7200 (phone) or 914-699-0837 (fax).

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 1659575322 directly on the NPPES registry website.

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