Individual provider · Type 1 NPI

Stacie Lee Kolker, LCSW

Clinical Social Worker · Kings Park, NY

NPI number 1639626419 Active

Practice location

30 Bruce Ln S
Kings Park, NY 11754-4508

Mailing address

61 Avenue D
Farmingville, NY 11738-1058

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X096104 (NY)
Clinical Social Worker Primary 1041C0700X090095 (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 1639626419

Stacie Lee Kolker, LCSW's National Provider Identifier is 1639626419, issued on Sep 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kings Park, NY. The record was last updated on Jul 5, 2022.