Stacee J Muolo, LCSW, CASAC2

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094632 Issued in NY

Practice address

36 Leicester St
Perry, NY 14530-1139

Phone

(585) 689-5695

NPI assigned

Jul 9, 2008

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacee J Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cartwheel Health Services PC

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
  • NPI 1912633975
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1447413596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LEICESTER ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301139",
            "telephone_number": "585-689-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LEICESTER ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301139",
            "telephone_number": "585-689-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUOLO",
        "first_name": "STACEE",
        "middle_name": "J",
        "credential": "LCSW, CASAC2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEE",
            "last_name": "DAVIS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodney D Logan, MD
• Alyssa C Meyer, PHARMD
• Deborah Jean Mix, LPN
• J Gage Moran, RPH
• Jane Elizabeth Muck, M.A.
• Hannah Navarro, P.A.
• Christina Rae Nuwer, OTR/L
• Perry Central School
• Perry Emergency Ambulance Inc
• Peter Privitera, PT DPT

• Social Worker in Perry, NY
• Providers in Perry, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.