Stacey Nicholas LLC
NPI 1376843615ActiveOrganization· Social Worker, Clinical· Somerville, NJ
Social Worker, Clinical in Somerville, New Jersey, registered in NPPES in November 2010. The authorized official on file is Stacey Nicholas, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376843615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2010 |
| Last updated in NPPES | Aug 2, 2021 |
| Certified by provider | Aug 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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