Stacie Thaw LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078176 Issued in NY

Legal business name

STACIE THAW LCSW PLLC

Practice address

115 Park Ave.
Manhasset, NY 11030

Phone

(516) 316-1648

Fax

(516) 365-0180

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Stacie ThawNPI 1043451818

Title

LCSW

Phone

(516) 316-1648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacie Ellen Thaw, LCSW

  • Clinical Social Worker
  • Manhasset, NY
  • NPI 1043451818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1891167458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK AVE.",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-316-1648",
            "fax_number": "516-365-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK AVE.",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-316-1648",
            "fax_number": "516-365-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE THAW LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "THAW",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "516-316-1648"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Castillo Srivastava, M.D.
• Shreya Srivastava, MD
• Gabriela Sroka
• Fedghynie St Germain, CRNA
• Gail Staal, LCSW
• Katherine H Stager, RPA-C, RD
• Jeffrey A Stahl, MD FACC
• Staiano Psychology Services, P.C.
• Nathania A Stancil, NP
• Albert Stanek, MD

• Clinical Social Worker in Manhasset, NY
• Providers in Manhasset, 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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.