Active NPIIndividual provider

Mrs. Stacey K Boden, LICSW

Social Worker, Clinical in Mc Guire Afb, New Jersey

NPI Number1790468569
Practice location
3458 Neely RD, Mc Guire Afb, NJ 08641-5312
Fax
—
Last updated
September 24, 2025

Stacey Keane Boden is a Social Worker, Clinical based in Mc Guire Afb, NJ. Stacey Keane Boden practices in Mc Guire Afb, NJ and has the professional credentials of LICSW. The NPI Number for Stacey Keane Boden is 1790468569 and holds a License No. 44SC06491300 (NJ). The current practice location address for Stacey Keane Boden is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312 and can be reached out via phone at 866-377-2778.

Provider Profile Details

NPI Number
1790468569
Provider Name
Stacey Keane Boden
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
3458 Neely RD, Mc Guire Afb, NJ 08641-5312
Phone Number
866-377-2778
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Miss Stacey Ann Keane (Former Name)
Provider Enumeration Date
August 9, 2023
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3458 Neely RD
Mc Guire Afb, NJ 08641-5312
Zip
08641-5312
Phone Number
866-377-2778
Mc Guire Afb, NJ 08641Get directions →

Provider Business Mailing Address Details

Address
101 Villinger Ave
Cinnaminson, NJ 08077-2911
City
Cinnaminson
State
NJ
Zip
08077-2911
Phone Number
757-289-2947

License Information

License Number (1)
44SC06491300
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
5267C-S
License State (2)
AL
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 Mrs. Stacey K Boden, LICSW?

The NPI number of Mrs. Stacey K Boden, LICSW is 1790468569. It was assigned on August 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey K Boden, LICSW?

Mrs. Stacey K Boden, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06491300.

Where does Mrs. Stacey K Boden, LICSW practice?

The practice location is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312. The office can be reached at 866-377-2778 (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 1790468569 directly on the NPPES registry website.

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