Stacey R Stetson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0721881 Issued in NY

Practice address

11 Marconi St
Tenafly, NJ 07670-1420

Phone

(917) 572-8488

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey Nunez 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1356449706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARCONI ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701420",
            "telephone_number": "917-572-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARCONI ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701420",
            "telephone_number": "917-572-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 7th Ave",
            "address_2": "#10H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116672",
            "country_code": "US",
            "telephone_number": "917-572-8488",
            "fax_number": "646-490-4403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STETSON",
        "first_name": "STACEY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0721881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "NUNEZ",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Barnabas Hospital
• John R. Stabile, M.D.
• Amy Beth Star, LCSW
• Yvette Starer, MD
• Linda Steffe, LCSW
• Laurence Stiefel, MD
• Kielin Stiffel, BCBA
• David M Subin, D.C.
• Lynn Sugarman
• Vinod Pachagiri Suresh, M.D.

• Clinical Social Worker in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.