Individual provider · Type 1 NPI

Christy Stack, LCSW

Clinical Social Worker · Cherry Hill, NJ

NPI number 1376092478 Active

Practice location

101 E Gate Dr
Cherry Hill, NJ 08034-2803

Fax (856) 810-7662

Mailing address

206 N Vendome Ave
Margate City, NJ 08402-1246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC04407400 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376092478

Christy Stack, LCSW's National Provider Identifier is 1376092478, issued on Sep 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cherry Hill, NJ. The record was last updated on Sep 29, 2016.