Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALLACE STACY JR., LCSW
Active Sole ProprietorMR. WALLACE STACY JR., LCSW is a Clinical Social Worker healthcare provider located in WILTON, Connecticut. NPI 1588190862 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WILTON, CT
Registration Details
- NPI Number
- 1588190862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2017 (9.256631048767 yrs)
- Last Updated
- May 5, 2017
- License
-
007936 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 RICHDALE DR APT AWILTON, CT, 068972008Browse CT providers · Browse ZIP 06897
- Phone
- 9143096442
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WILTON, CT
| Name | Credential | NPI |
|---|---|---|
| SUSAN HACKEL | LCSW | 1689620312 |
| MERRY FRONS | LCSW, CAC | 1427072818 |
| CYNTHIA DOMINICK GARDELLA | LCSW | 1275646481 |
| MS. SUZANNE N. PERLMAN | MSW | 1841305166 |
| BARBARA DESPRES | LCSW ACSW | 1104972769 |
| MS. ROBIN H CANTER | LCSW | 1871708503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.