Stacie Siwik, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2091 Issued in NH

Practice address

50 Nashua Rd Ste 205
Londonderry, NH 03053-3434

Phone

(603) 324-0938

NPI assigned

Apr 9, 2007

Last updated

Feb 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Stacie Bilowz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1326161894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUCKINGHAM DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532327",
            "telephone_number": "603-324-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NASHUA RD STE 205",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533434",
            "telephone_number": "603-324-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIWIK",
        "first_name": "STACIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2091",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "433810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "BILOWZ",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Sheaff, OTR
• Chelsea Shirshac, LICSW
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• Kaitlyn Simoneau
• Simply Dental of Londonderry Miles of Smiles (Miles of Smiles)
• Shelley Ann Slavoski, OTR/L
• Tai C Slyne, DNP,ARNP, FNP, PMHNP
• Trevor Smart, D.M.D
• Dawn Smith, RRT
• Vincent G Smith, PH.D.

• Clinical Social Worker in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.