STACY WILSON
NPI 1235016676
Social Worker in Severn, MD

Active since August 18, 2025
8641 PIONEER DR, SEVERN, MD 21144(716) 710-2343 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY WILSON (NPI 1235016676) is an individual social worker in Severn, Maryland, licensed in New York (087943) and active in the NPI registry since August 2025. She maintains a secondary practice location in Bayside.

NPPES Registry Identity

NPI1235016676
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTACY WILSON
Location Address8641 PIONEER DRSevern, MD 21144-3008
Mailing Address8641 Pioneer DrSevern, MD 21144-3008 · (716) 710-2343
Sole ProprietorYes
Enumeration DateAugust 18, 2025
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1235016676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · 087943
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
8641 PIONEER DR, Severn, MD 21144

Secondary Practice Location 1

Location 13635 Bell Blvd Ste 203Bayside, NY 11361-2097 · Phone (718) 504-9256 ext. 49256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Wilson's NPI number?

The NPI number for Stacy Wilson is 1235016676. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Stacy Wilson located?

Stacy Wilson practices at 8641 Pioneer Dr, Severn, MD 21144. The listed phone number is (716) 710-2343.

What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Stacy Wilson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.