Individual provider · Type 1 NPI

Stacy Ann Bartholomew, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1376466748 Active

Practice location

1227 Main St
Port Jefferson, NY 11777-2227

Mailing address

5 Blackberry Ln
Center Moriches, NY 11934-1412

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X103122 (NY)

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 1376466748

Stacy Ann Bartholomew, LCSW's National Provider Identifier is 1376466748, issued on Aug 3, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 3, 2026.