Stacey Lee Herrick, LCSW-R, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10058403R Issued in NY

Practice address

120 Allens Creek Rd Ste 240
Rochester, NY 14618-3306

Phone

(585) 270-4055

Fax

(585) 270-4220

NPI assigned

Jun 12, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quiet Mind Therapy Services, LCSW, PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1629568381
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437191335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALLENS CREEK RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183306",
            "telephone_number": "585-270-4055",
            "fax_number": "585-270-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALLENS CREEK RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183306",
            "telephone_number": "585-270-4055",
            "fax_number": "585-270-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 W Main St",
            "address_purpose": "LOCATION",
            "city": "Honeoye Falls",
            "state": "NY",
            "postal_code": "144721130",
            "country_code": "US",
            "telephone_number": "585-624-7520",
            "fax_number": "585-624-7521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 W Main St",
            "address_purpose": "LOCATION",
            "city": "Honeoye Falls",
            "state": "NY",
            "postal_code": "144721130",
            "country_code": "US",
            "telephone_number": "585-624-7520",
            "fax_number": "585-624-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "LCSW-R, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "10058403R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "262637150",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7295587",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "P010058403",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "146719FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Ruiz Herrera, DPM
• Hector Raul Herrera, M.D.
• Kristine Anne Herrera, DO
• Denise Herrick, F.N.P.
• Petra Marie Herrick
• Chloe Monet Herring
• Lamont Anthony Herring, CASAC
• Morgan Herrington, PA-C
• Claire Herrman, RN BSN
• Cheryl A Herrmann, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.