| Dr Stacey Dutil, DSW, LCSW | |
|
70 Krakow St, Garfield, NJ 07026-1427 | |
| (347) 463-5297 | |
| Not Available |
| Full Name | Dr Stacey Dutil |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 70 Krakow St, Garfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528780079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC06025300 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 088176 (New York) | Primary |
| Entity Name | New Jersey Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Dutil, DSW, LCSW 70 Krakow St, Garfield, NJ 07026-1427 Ph: (347) 463-5297 | Dr Stacey Dutil, DSW, LCSW 70 Krakow St, Garfield, NJ 07026-1427 Ph: (347) 463-5297 |
Nicole Stump, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Lanza Ave, Garfield, NJ 07026 Phone: 973-930-4008 | |
Caitlin Dow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Midland Ave Ste A, Garfield, NJ 07026 Phone: 973-340-1500 | |
Lorena Benavides Lazo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 384 River Dr, Garfield, NJ 07026 Phone: 201-424-2740 | |
Jeremy Richard Castaneda, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18 Garden Ct S, Garfield, NJ 07026 Phone: 201-398-6113 | |
Gina Marie Coupe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 184 Harrison Ave, Garfield, NJ 07026 Phone: 973-546-0037 | |
Francesca Bautista, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 Outwater Ln, Garfield, NJ 07026 Phone: 920-680-7190 |