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MRS. STACIE LEE KOLKER LCSW
NPI 1639626419
Social Worker - Clinical in Kings Park, NY

Active since September 08, 2016
30 BRUCE LN S, KINGS PARK, NY 11754(631) 365-3031 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacie Lee Kolker Lcsw NPPES

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

MRS. STACIE LEE KOLKER LCSW (NPI 1639626419) is an individual clinical provider in Kings Park, New York, licensed in New York (090095) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1639626419
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STACIE LEE KOLKERCredential: LCSW
Location Address30 BRUCE LN SKings Park, NY 11754-4508
Mailing Address61 Avenue DFarmingville, NY 11738-1058
Phone(631) 365-3031
Sole ProprietorYes
Enumeration DateSeptember 8, 2016
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1639626419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 090095
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 096104 (NY)
30 BRUCE LN S, Kings Park, NY 11754
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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 Stacie Kolker's NPI number?

The NPI number for Stacie Kolker is 1639626419. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Stacie Kolker located?

Stacie Kolker practices at 30 Bruce Ln S, Kings Park, NY 11754. The listed phone number is (631) 365-3031.

What is Stacie Kolker'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 Stacie Kolker was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.