Individual provider Active NPI

Stacy L Schwed, LCSW

  • Clinical Social Worker
  • Wantagh, NY
National Provider Identifier
1568750883
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R056086-01 Issued in NY
Practice address
2240 Willow St
Wantagh, NY 11793-4225
Phone
(516) 680-5967
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R056086-01 NY Primary

Addresses

Primary practice location

2240 Willow St
Wantagh, NY 11793-4225

Mailing address

38 Rumford Rd
Kings Park, NY 11754-4113
Phone (516) 680-5967

Other identifiers 1

IdentifierTypeStateIssuer
11307460OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 9, 2024 through Sep 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R056086-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Counseling, LCSW, PC Current Accepting new patients
Stacy Pellettieri Clinical Current Accepting new patients
Douglas a. Byrnes, MD, PC PastSince Nov 12, 2007 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1568750883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 RUMFORD RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544113",
            "telephone_number": "516-680-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WILLOW ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934225",
            "telephone_number": "516-680-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWED",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056086-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11307460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.