STACIE LYNN FANELLI LCSW
NPI 1366953226
Social Worker - Clinical in Rancho Cucamonga, CA

Q: What is Stacie Fanelli's NPI number?

The NPI number for Stacie Fanelli is 1366953226. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Stacie Fanelli's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Fanelli was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since October 18, 2017

9135 ARCHIBALD AVE STE B, RANCHO CUCAMONGA, CA 91730(626) 838-3406 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, Oct 18, 2017 (2 updates tracked since 2017).

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About Stacie Lynn Fanelli Lcsw NPPES

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

STACIE LYNN FANELLI LCSW (NPI 1366953226) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (105876) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1366953226

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACIE LYNN FANELLICredential: LCSW

Location Address9135 ARCHIBALD AVE STE BRancho Cucamonga, CA 91730-5227

Mailing Address9135 Archibald Ave Ste BRancho Cucamonga, CA 91730-5227 · (626) 838-3406

Phone(626) 838-3406

Sole ProprietorYes

Enumeration DateOctober 18, 2017

Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1366953226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 105876✔ Licensed in PA · CW024176

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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

9135 ARCHIBALD AVE STE B, Rancho Cucamonga, CA 91730

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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