Stacy Kanen-Green in Smithtown - Clinical

Stacy Kanen-Green - NPI 1598777955

Stacy Kanen-Green is a Clinical in Smithtown, New York. Stacy Kanen-Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Kanen-Green is 1598777955. The last update date is 2007-07-08.

Stacy Kanen-Green's current location address is 11 Route 111, Smithtown, New York. You can contact this provider via phone number 6319208300 and fax number 6319208460. The mailing address for Stacy Kanen-Green is 11 Route 111, Smithtown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Kanen-Green
Address 11 Route 111, Smithtown, New York
Phone Number 6319208300
Fax Number 6319208460
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1598777955
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11 Route 111
City Smithtown
State New York (NY)
Post Code 117873712
Phone Number 6319208300
Fax Number 6319208460

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 444701
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Stacy Kanen-Green

What is the unique identification code assigned to Stacy Kanen-Green by the Centers for Medicare & Medicaid Services?

The Stacy Kanen-Green has been issued the NPI (National Provider Identifier) 1598777955. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Stacy Kanen-Green is physically located?

The Stacy Kanen-Green is situated at the following address: 11 Route 111, Smithtown, NY 117873712.

What is Stacy Kanen-Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacy Kanen-Green is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When was the Stacy Kanen-Green's 1598777955 issued?

The Stacy Kanen-Green's 1598777955 was issued on 2006-08-13.

When was the information regarding Stacy Kanen-Green most recently updated?

The details pertaining to the Stacy Kanen-Green, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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