MRS. CHRISTY STACK LCSW
NPI 1376092478
Social Worker - Clinical in Cherry Hill, NJ

Q: What is Christy Stack's NPI number?

The NPI number for Christy Stack is 1376092478. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Q: What is Christy Stack'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 Christy Stack was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 29, 2016PECOS EnrolledAccepts Medicare Assignment

101 E GATE DR, CHERRY HILL, NJ 08034(856) 810-7599(856) 810-7662 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Christy Stack Lcsw NPPES

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

MRS. CHRISTY STACK LCSW (NPI 1376092478) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (44SC04407400) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1376092478

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. CHRISTY STACKCredential: LCSW

Location Address101 E GATE DRCherry Hill, NJ 08034-2803

Mailing Address206 N Vendome AveMargate City, NJ 08402-1246 · (609) 839-6348

Phone(856) 810-7599

Fax(856) 810-7662

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateSeptember 29, 2016

✔ NPI 1376092478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NJ · 44SC04407400

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.

101 E GATE DR, Cherry Hill, NJ 08034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Christy Stack Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779523022

PECOS Enrollment IDI20260504005417

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $61.59 – $185.05

Typical copayment $0.00 (range $15.39 – $46.26)

Most-billed visit code NA

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

IVETTE VERA BCBA

Behavior Analyst