Kolker, Stacie Lee

Kolker, Stacie Lee is an sole proprietor health care provider with primary practice located at 30 Bruce Ln S , Kings Park NY 11754-4508. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kolker, Stacie Lee can be contacted via phone (631) 365-3031.

Contact Information

Primary practice address
30 Bruce Ln S Kings Park NY 11754-4508
Phone: (631) 365-3031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 096104 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 090095 New York

Profile Details

NPI number 1639626419
LBN Legal business name Kolker, Stacie Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2016
Last updated Jul 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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