Stacee J Muolo, LCSW, CASAC2
Individual provider Active NPI Social Worker · Perry, NY
NPI 1447413596 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1447413596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 094632 (NY)
- Practice address
- 36 Leicester St
Perry, NY 14530-1139 - Phone
- (585) 689-5695
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094632 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094632 | NY | Yes |
Addresses
Primary practice location
36 Leicester St
Perry, NY 14530-1139
Mailing address
36 Leicester St
Perry, NY 14530-1139
Phone (585) 689-5695
Other names
- Stacee J Davis
Other providers in Perry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.