Stacey A. Spata, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069919-1 Issued in NY

Practice address

145 Commack Rd
Suite 1
Commack, NY 11725-3438

Phone

(631) 332-6152

NPI assigned

Jul 1, 2010

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Wellqor Psychological Services Northeast, PC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326442567

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1235440512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MERLIN LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331719",
            "telephone_number": "631-332-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COMMACK RD",
            "address_2": "SUITE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253438",
            "telephone_number": "631-332-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATA",
        "first_name": "STACEY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachna Sharma Sondhi, M.D.
• Regina Seyun Song, NP
• Jill Sontarp-Prpich
• Gabrielle Rose Sorensen
• Lynn Ronni Soriano, MA
• Lorie Ann Speciale
• Debra M. Spector, RD
• Speech Therapy of Long Island PC
• Spencer F. Dubov, D.P.M., P.C.
• William Anthony Sperduto

• Clinical Social Worker in Commack, NY
• Providers in Commack, 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 Jul 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.