Patricia Clark-Stucky, D.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00007300 Issued in NJ

Practice address

256 Columbia Tpke
Columbia Commons, Suite 209
Florham Park, NJ 07932-1209

Phone

(973) 966-0386

NPI assigned

Feb 7, 2007

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407996671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "COLUMBIA COMMONS, SUITE 209",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-966-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "COLUMBIA COMMONS, SUITE 209",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-966-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-STUCKY",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "D.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00007300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Lee-Gin Chuang, MD, MPH
• Michael W Chung, MD
• Ghada Cieri, CRNA/APN
• Diana Cirillo, L.C.S.W.
• Lisa Clancy, M.D.
• Sydney Clawans
• Kimberly Clerie
• Ashley Cleveland, PA-C
• Demosthenes Co, M.D.
• James Kevin Cochrane, LMT

• Clinical Social Worker in Florham Park, NJ
• Providers in Florham Park, 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 Jul 8, 2007; 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.