Stacy Elizabeth Fazio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05589800 Issued in NJ

Practice address

10 Elmer Ave
Bernardsville, NJ 07924-1825

Phone

(973) 637-0213

NPI assigned

Aug 27, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1912155342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELMER AVE",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079241825",
            "telephone_number": "973-637-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELMER AVE",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079241825",
            "telephone_number": "973-637-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "STACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05589800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.stacyfazio.com",
            "affiliation": "N",
            "address_1": "10 Elmer Ave",
            "city": "Bernardsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079241825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenn Scott Eigenmann, D.C.
• Alla Erlikhman, MD
• F Farooqi DNP, LLC
• Family Practice Associates, PC
• Farkhanda Izhar Farooqi, DNP AGPCNP- BC PMHNP
• Hope Fernicola, M.A. CCC SLP
• Stacey Elizabeth Fiorillo, MS, LCGC
• Alyssa Firkser
• Gyongyi Fodor
• Leonard Friedman, D.M.D.

• Clinical Social Worker in Bernardsville, NJ
• Providers in Bernardsville, 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 May 27, 2020; 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.