Paul Stack

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

122088 Issued in NY

Practice address

950 Norton St
Rochester, NY 14621-3732

Phone

(585) 467-3131

NPI assigned

Sep 10, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1295561918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SENECA AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146174802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NORTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213732",
            "telephone_number": "585-467-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "122088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James St.John, MD
• Quinn Staats, BSN, RN
• Stacey L Rone, LCSW, PLLC
• Joan M. Stack, NP
• Kasandra Angelina Stack
• Elizabeth Anne Stackhouse, MD
• Stacy J Townsend
• Robin Stacy, NP
• Ngoc B Stad
• Georgia Ruth Staderman, LCSW

• School Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.