Stacey Cermak, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC0532 Issued in NJ

Practice address

33 Essex Ave
Montclair, NJ 07042-4124

Phone

(347) 268-0119

NPI assigned

Jul 25, 2011

Last updated

Jul 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Dig and Sow Horticultural Therapy LLC

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1285512236
  NPD Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1790063733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ESSEX AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424124",
            "telephone_number": "347-268-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ESSEX AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424124",
            "telephone_number": "347-268-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERMAK",
        "first_name": "STACEY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0532",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056757-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Cavanagh, LCSW
• John Cece, MD
• Cedas Home Care Services, LLC
• Center for Awareness & Growth, Inc.
• Center for Innovative GYN Care NE LLC (The Center for Innovative GYN Care NE)
• Marilyn Certner-Smith, SLP
• Michael Q Cerullo, MSPT,CSCS
• Rosalie Cespedes, LSW
• Sophie Jibnie F Ceus
• Mitchel Jonathan Chalek, L.AC.

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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 30, 2012; 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.