Individual provider · Type 1 NPI

Stacy Annette Ivery, L.C.S.W.

School Counselor · Riverside, CA

NPI number 1871703900 Active

Practice location

1200 Blazewood St
Riverside, CA 92507-5909

Call (951) 377-1087 Map

Fax (951) 683-3323

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200XR51A (#070191978) (CA)
Clinical Social Worker 1041C0700XLCS 17495 (CA)

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About NPI 1871703900

Stacy Annette Ivery, L.C.S.W.'s National Provider Identifier is 1871703900, issued on May 24, 2007. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Riverside, CA. The record was last updated on Sep 11, 2025.