Stacey, Lisa

Stacey, Lisa is an individual health care provider with primary practice located at 61 Grand Ave , Englewood NJ 07631-3572. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Stacey, Lisa can be contacted via phone (201) 568-0239.

Contact Information

Primary practice address
61 Grand Ave Englewood NJ 07631-3572
Phone: (201) 568-0239
Fax: (201) 568-9780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 071928-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05182900 New Jersey

Profile Details

NPI number 1891020517
LBN Legal business name Stacey, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Apr 6th, 2017 - about 8 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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