Stacey Balkanski, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STACEY BALKANSKI, LCSW, LLC

Practice address

817 S University Dr Ste 121
Plantation, FL 33324-3318

Phone

(754) 702-7659

Fax

(954) 200-6144

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Elise Balkanski, LCSWNPI 1396079372

Title

Psychotherapist

Phone

(954) 557-8625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Elise Balkanski, LCSW

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1396079372
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1295038123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 W BROWARD BLVD # 230",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242351",
            "telephone_number": "954-557-8625",
            "fax_number": "954-200-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR STE 121",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243318",
            "telephone_number": "754-702-7659",
            "fax_number": "954-200-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5571 N University Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330674653",
            "country_code": "US",
            "telephone_number": "954-792-7659",
            "fax_number": "954-200-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 NW 78th Ave",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241961",
            "country_code": "US",
            "telephone_number": "954-557-8625",
            "fax_number": "954-200-6144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STACEY BALKANSKI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "BALKANSKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-557-8625",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geena Marie Squartino, OTR/L
• Monika Srivastava, D.M.D.
• Porsha Singleton St Pierre, APRN
• Marie St. Fleur, MS, LMHC
• St. Thomas Manor, Inc.
• Jerry Rickman Stacy, PHARMACIST (PHARM.D)
• Nicole Stanford
• Jay Harold Stanley, M.D.
• Eileen Marie Stanojevic, APRN
• Joshua Ryan Stanton, DO

• Clinical Social Worker in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.