Shane-Nusbaum, Stacey

Shane-Nusbaum, Stacey is an sole proprietor health care provider with primary practice located at 6039 Collins Ave Apt 1711 , Miami Beach FL 33140-2256. 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 / Social Worker is her primary health care specialty. Shane-Nusbaum, Stacey can be contacted via phone (305) 989-5493.

Contact Information

Primary practice address
6039 Collins Ave Apt 1711 Miami Beach FL 33140-2256
Phone: (305) 989-5493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16157

Profile Details

NPI number 1740840040
LBN Legal business name Shane-Nusbaum, Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2019
Last updated Mar 8th, 2024 - about 2 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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