| Stacy Triumph | |
|
19 Georgetown Rd Columbus NJ 08022 | |
| (267) 931-8824 | |
| Not Available |
| Full Name | Stacy Triumph |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 Georgetown Rd, Columbus, New Jersey |
| Authorized Official Name and Position | Stacy Allison Triumph (MANAGING MEMBER) |
| Authorized Official Contact | 2679318824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Triumph 45 E City Ave # 1954 Bala Cynwyd PA 19004-2421 Ph: (267) 931-8824 | Stacy Triumph 19 Georgetown Rd Columbus NJ 08022 Ph: (267) 931-8824 |
| NPI Number | 1477244267 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477244267 | NPI | - | NPPES |
| 0904016003 | Other | VA | LICENSED CLINICAL SOCIAL WORKER |
| Q1-0012060 | Other | DE | LICENSED CLINICAL SOCIAL WORKER |
| 14785 | Other | MD | LICENSED CLINICAL SOCIAL WORKER |
| CW019266 | Other | PA | LICENSED CLINICAL SOCIAL WORKER |
| 44SC05722600 | Other | NJ | LICENSED CLINICAL SOCIAL WORKER |
| LC200002949 | Other | DC | LICENSED CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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