Massari, Stacey

Massari, Stacey is an individual health care provider with primary practice located at 201 E Green St , Ithaca NY 14850-5635. 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. Massari, Stacey can be contacted via phone (607) 274-6200.

Contact Information

Primary practice address
201 E Green St Ithaca NY 14850-5635
Phone: (607) 274-6200
Fax: (607) 274-6224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 090795 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086040-1 New York

Profile Details

NPI number 1770999021
LBN Legal business name Massari, Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Nov 13th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770999021 NPPES
New York MEDICAID 090795

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