Stacie Ellen Thaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078176 Issued in NY

Practice address

115 Park Ave
Manhasset, NY 11030-2445

Phone

(516) 316-1648

NPI assigned

Mar 9, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stacie Thaw LCSW PLLC

  • Clinical Social Worker
  • Manhasset, NY
  • NPI 1891167458
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1043451818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK AVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302445",
            "telephone_number": "516-316-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK AVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302445",
            "telephone_number": "516-316-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAW",
        "first_name": "STACIE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalisa Termini, PT,DPT
• Matthew Terrono
• Treyc Jacquise Terry, MD
• Bessy E Thangavelu, FNP
• Salina Thapa, ANP
• Cini K Thayil, M.D.
• The Manhasset Center
• Ran Thein, M.D.
• Therapeutic Excellence Physical Therapy PC
• Lisa Thomas, DO

• Clinical Social Worker in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.