Ivery, Stacy Annette

Ivery, Stacy Annette is an sole proprietor health care provider with primary practice located at 1200 Blazewood St , Riverside CA 92507-5909. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is her primary health care specialty. Ivery, Stacy Annette can be contacted via phone (951) 377-1087.

Contact Information

Primary practice address
1200 Blazewood St Riverside CA 92507-5909
Phone: (951) 377-1087
Fax: (951) 683-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X R51A (#070191978) California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 17495 California

Profile Details

NPI number 1871703900
LBN Legal business name Ivery, Stacy Annette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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