Individual provider Active NPI

Stacey Lynette Ricks-Bouknight, LMSW

  • Social Worker
  • Uniondale, NY
National Provider Identifier
1346495231
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
070009-1 Issued in NY
Practice address
674 Lafayette Ave
Uniondale, NY 11553-2231
Phone
(516) 312-3654
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 070009-1 NY Primary

Addresses

Primary practice location

674 Lafayette Ave
Uniondale, NY 11553-2231

Mailing address

674 Lafayette Ave
Uniondale, NY 11553-2231
Phone (516) 312-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070009-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1346495231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 LAFAYETTE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532231",
            "telephone_number": "516-312-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 LAFAYETTE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532231",
            "telephone_number": "516-312-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS-BOUKNIGHT",
        "first_name": "STACEY",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.