Individual provider · Type 1 NPI

Stacey Keane Boden, LICSW

Clinical Social Worker · Mc Guire Afb, NJ

NPI number 1790468569 Active

Practice location

3458 Neely Rd
Mc Guire Afb, NJ 08641-5312

Mailing address

101 Villinger Ave
Cinnaminson, NJ 08077-2911

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC06491300 (NJ)
Clinical Social Worker Primary 1041C0700X5267C-S (AL)

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 1790468569

Stacey Keane Boden, LICSW's National Provider Identifier is 1790468569, issued on Aug 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mc Guire Afb, NJ. The record was last updated on Sep 24, 2025.