Individual provider · Type 1 NPI

Stacy Kanen-Green, LCSW

Addiction (Substance Use Disorder) Counselor · Smithtown, NY

NPI number 1598777955 Active

Practice location

11 Route 111
Smithtown, NY 11787-3712

Fax (631) 920-8460

Mailing address

7 Walker Ave
Syosset, NY 11791-4028

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0444701 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12340 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1598777955

Stacy Kanen-Green, LCSW's National Provider Identifier is 1598777955, issued on Aug 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Smithtown, NY. The record was last updated on Sep 11, 2025.