National Provider Identifier
Stacy Wilson, LMSW
Stacy Wilson, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Grand Island, NY and a listed phone number of (716) 220-8834.
Profile Overview
- NPI
- 1326507815
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 14, 2019
- Last Updated
- June 17, 2019
Practice Location
- 52 Woodstream Dr
- Grand Island, NY 14072
Phone: (716) 220-8834
Mailing Address
- 52 Woodstream Dr
- Grand Island, NY 14072-1485
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1326507815
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Stacy
- Credential
- LMSW
- Mailing Street Address
- 52 Woodstream Dr
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-1485
- Mailing Country
- US
- Practice Street Address
- 52 Woodstream Dr
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072
- Practice Country
- US
- Practice Phone
- (716) 220-8834
- Enumeration Date
- March 14, 2019
- Last Updated
- June 17, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)