National Provider Identifier
Stacey Tinker Welch, LCSW-R
Stacey Tinker Welch, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Palmyra, NY and a listed phone number of (585) 506-8928.
Profile Overview
- NPI
- 1639202815
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 14, 2007
- Last Updated
- March 14, 2023
Practice Location
- 250 Fayette St
- Palmyra, NY 14522-1424
Phone: (585) 506-8928
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1639202815
- Entity Type
- Individual
- Last Name
- Welch
- First Name
- Stacey
- Middle Name
- Tinker
- Name Prefix
- MS.
- Credential
- LCSW-R
- Provider Other Last Name
- Tinker
- Provider Other First Name
- Stacey
- Provider Other Middle Name
- E
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 250 Fayette St
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1424
- Mailing Country
- US
- Mailing Phone
- (585) 506-8928
- Practice Street Address
- 250 Fayette St
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1424
- Practice Country
- US
- Practice Phone
- (585) 506-8928
- Enumeration Date
- March 14, 2007
- Last Updated
- March 14, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 14, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)
- Other Identifiers
- 07300072963 (NY)