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MR. WALLACE STACY JR. LCSW
NPI 1588190862
Social Worker - Clinical in Wilton, CT

Active since May 05, 2017
21 RICHDALE DR APT A, WILTON, CT 06897(914) 309-6442 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Wallace Stacy Jr. Lcsw NPPES

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

MR. WALLACE STACY JR. LCSW (NPI 1588190862) is an individual clinical provider in Wilton, Connecticut, licensed in Connecticut (007936) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1588190862
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WALLACE STACY JR.Credential: LCSW
Location Address21 RICHDALE DR APT AWilton, CT 06897-2008
Mailing Address21 Richdale Dr Apt AWilton, CT 06897-2008 · (914) 309-6442
Phone(914) 309-6442
Sole ProprietorYes
Enumeration DateMay 5, 2017
✔ NPI 1588190862 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 CT · 007936
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.
21 RICHDALE DR APT A, Wilton, CT 06897
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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 Wallace Stacy's NPI number?

The NPI number for Wallace Stacy is 1588190862. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Wallace Stacy located?

Wallace Stacy practices at 21 Richdale Dr Apt A, Wilton, CT 06897. The listed phone number is (914) 309-6442.

What is Wallace Stacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Wallace Stacy was last updated on May 5, 2017. 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.