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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACIE LEE KOLKER, LCSW

Active Sole Proprietor

MRS. STACIE LEE KOLKER, LCSW is a Clinical Social Worker healthcare provider located in KINGS PARK, New York. NPI 1639626419 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KINGS PARK, NY

Registration Details

NPI Number
1639626419
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2016 (9.9116810530999 yrs)
Last Updated
Jul 5, 2022
Licenses
096104 (NY)
090095 (NY)
Sole Proprietor
Yes

Practice Information

Address
30 BRUCE LN S
KINGS PARK, NY, 117544508
Browse NY providers · Browse ZIP 11754
Phone
6313653031
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in KINGS PARK, NY

Name Credential NPI
MARK VERNON APPLEWHITE NY STATE LCSW-R 1356331110
NANETTE NICOTRA GINGO LCSW 1134176258
MS. CARA MAYRICK LCSW 1962558155
MAURA GRILLO LCSW 1982815429
JENNIE SUCILSKY LCSW 1205088473
SANDRA RUGGIERO LCSW 1205079944
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.