Stacey Waller, LSW
Social Worker in Burlington City, New Jersey
1730581349- Practice location
- 116 W Broad St, Burlington City, NJ 08016-1410
- Phone
- 609-386-0650
- Fax
- 609-386-0652
- Last updated
- September 25, 2014
Stacey Waller is a Social Worker based in Burlington City, NJ. Stacey Waller practices in Burlington City, NJ and has the professional credentials of LSW. The NPI Number for Stacey Waller is 1730581349 and holds a License No. 44sl05147700 (NJ). The current practice location address for Stacey Waller is 116 W Broad St, Burlington City, NJ 08016-1410 and can be reached out via phone at 609-386-0650 and via fax at 609-386-0652.
Provider Profile Details
- NPI Number
- 1730581349
- Provider Name
- Stacey Waller
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 116 W Broad St, Burlington City, NJ 08016-1410
- Phone Number
- 609-386-0650
- Fax Number
- 609-386-0652
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 25, 2014
- Last Update Date
- September 25, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 116 W Broad St
Burlington City, NJ 08016-1410 - City
- Burlington City
- State
- New Jersey
- Zip
- 08016-1410
- Phone Number
- 609-386-0650
- Fax Number
- 609-386-0652
Provider Business Mailing Address Details
- Address
- 116 W Broad St
Burlington City, NJ 08016-1410 - City
- Burlington City
- State
- NJ
- Zip
- 08016-1410
- Phone Number
- 609-386-0650
- Fax Number
- 609-386-0652
License Information
- License Number
- 44sl05147700
- License State
- NJ
- Taxonomy
- Social Worker · 104100000X · 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 Stacey Waller, LSW?
The NPI number of Stacey Waller, LSW is 1730581349. It was assigned on September 25, 2014 and is currently active in the NPPES registry.
What is the specialty of Stacey Waller, LSW?
Stacey Waller, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44sl05147700.
Where does Stacey Waller, LSW practice?
The practice location is 116 W Broad St, Burlington City, NJ 08016-1410. The office can be reached at 609-386-0650 (phone) or 609-386-0652 (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 1730581349 directly on the NPPES registry website.