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MS. STACI LYN PERELMAN L.C.S.W.
NPI 1679778948
Social Worker - Clinical in New York, NY

Active since June 18, 2007Opted out of Medicare · through Jun 19, 2028
276 5TH AVE, SUITE 307-A, NEW YORK, NY 10001(212) 481-0417 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Staci Lyn Perelman L.c.s.w. NPPES

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

MS. STACI LYN PERELMAN L.C.S.W. (NPI 1679778948) is an individual clinical provider in New York, New York, licensed in New York (R-055945) and active in the NPI registry since June 2007. She has opted out of Medicare through June 19, 2028.

NPPES Registry Identity

NPI1679778948
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACI LYN PERELMANCredential: L.C.S.W.
Location Address276 5TH AVE, SUITE 307-ANew York, NY 10001-4509
Mailing Address276 5th Ave, Suite 307-aNew York, NY 10001-4509 · (212) 481-0417
Phone(212) 481-0417
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1679778948 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 NY · R-055945
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.
276 5TH AVE, New York, NY 10001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Staci Lyn Perelman L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 19, 2026 through June 19, 2028.

Opt-Out Effective DateJune 19, 2026
Opt-Out In Effect ThroughJune 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. KENNETH S POUND PSY.D.
Psychologist (Clinical)
276 5TH AVE, SUITE 507-B
NEW YORK, NY 10001
New York County (646) 945-0826
SLL NURSE PRACTITIONER IN PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
276 5TH AVE, SUITE 704
NEW YORK, NY 10001
New York County (646) 381-2952
DR. LISA ORBE-AUSTIN PHD
Psychologist (Counseling)
276 5TH AVE, SUITE 307A
NEW YORK, NY 10001
New York County (917) 653-6517
DR. DAVID A. LANE PSY.D.
Psychologist
276 5TH AVE, SUITE 1105
NEW YORK, NY 10001
New York County (917) 957-2719
DR. DAVID KIMHY PH.D.
Psychologist (Clinical)
276 5TH AVE, SUITE #307-A
NEW YORK, NY 10001
New York County (212) 330-7699
COOPERS KIDS OCCUPATIONAL AND PHYSICAL THERAPY SERVICES, PLLC
Specialist
276 5TH AVE, SUITE 500
NEW YORK, NY 10001
New York County (212) 517-2777
ACUPUNCTURE PHYSICAL THERAPY
Acupuncturist
276 5TH AVE, 202
NEW YORK, NY 10001
New York County (212) 213-3480
ASHLEY BROWN BULLOCK
Psychologist (Clinical)
276 5TH AVE, SUITE 307B
NEW YORK, NY 10001
New York County (347) 218-1289

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 Staci Perelman's NPI number?

The NPI number for Staci Perelman is 1679778948. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Staci Perelman located?

Staci Perelman practices at 276 5th Ave Suite 307-A, New York, NY 10001. The listed phone number is (212) 481-0417.

What is Staci Perelman's specialty?

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

Is Staci Perelman enrolled in Medicare?

No. Staci Perelman has opted out of Medicare through June 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Staci Perelman was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.