Active NPIIndividual providerSole proprietor

Stacey Cermak, MSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1790063733
Practice location
33 Essex Ave, Montclair, NJ 07042-4124
Fax
—
Last updated
July 30, 2012

Stacey Cermak is a Social Worker, Clinical based in Montclair, NJ. Stacey Cermak practices in Montclair, NJ and has the professional credentials of MSW. The NPI Number for Stacey Cermak is 1790063733 and holds a License No. 44SC0532 (NJ). The current practice location address for Stacey Cermak is 33 Essex Ave, Montclair, NJ 07042-4124 and can be reached out via phone at 347-268-0119.

Provider Profile Details

NPI Number
1790063733
Provider Name
Stacey Cermak
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
33 Essex Ave, Montclair, NJ 07042-4124
Phone Number
347-268-0119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2011
Last Update Date
July 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Essex Ave
Montclair, NJ 07042-4124
Zip
07042-4124
Phone Number
347-268-0119
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
33 Essex Ave
Montclair, NJ 07042-4124
City
Montclair
State
NJ
Zip
07042-4124
Phone Number
347-268-0119

License Information

License Number (1)
44SC0532
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
R056757-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Montclair, NJ

View all Social Worker, Clinical providers in Montclair →

Frequently Asked Questions

What is the NPI number of Stacey Cermak, MSW?

The NPI number of Stacey Cermak, MSW is 1790063733. It was assigned on July 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Stacey Cermak, MSW?

Stacey Cermak, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC0532.

Where does Stacey Cermak, MSW practice?

The practice location is 33 Essex Ave, Montclair, NJ 07042-4124. The office can be reached at 347-268-0119 (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 1790063733 directly on the NPPES registry website.

Browse related providers