National Provider Identifier

William Forrest Stacy, LMSW

William Forrest Stacy, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 272-5891.

NPI 1316266182Ithaca, NYSocial Worker

Profile Overview

NPI
1316266182
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010

Practice Location

  • 3226 Wilkins RD
  • Ithaca, NY 14850-9568

Phone: (607) 272-5891

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1316266182
Entity Type
Individual
Last Name
Stacy
First Name
William
Middle Name
Forrest
Credential
LMSW
Mailing Street Address
3226 Wilkins RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9568
Mailing Country
US
Mailing Phone
(607) 272-5891
Practice Street Address
3226 Wilkins RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9568
Practice Country
US
Practice Phone
(607) 272-5891
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)