National Provider Identifier
Stacey Massari, LCSW
Stacey Massari, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 274-6200.
Profile Overview
- NPI
- 1770999021
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 08, 2014
- Last Updated
- November 13, 2017
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1770999021
- Entity Type
- Individual
- Last Name
- Massari
- First Name
- Stacey
- Credential
- LCSW
- Provider Other Last Name
- Hilts
- Provider Other First Name
- Stacey
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 201 E Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Mailing Fax
- (607) 274-6224
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Practice Fax
- (607) 274-6224
- Enumeration Date
- July 08, 2014
- Last Updated
- November 13, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)
- Other Identifiers
- 090795 (NY)