| Stacey Robertson, Lcsw | |
| 
					175 Lott St Apt 3e Brooklyn NY 11226-5435  | |
| (732) 806-1087 | |
| Not Available | 
| Full Name | Stacey Robertson, Lcsw | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 175 Lott St Apt 3e, Brooklyn, New York | 
| Authorized Official Name and Position | Gamaine Williams (OFFICE MANAGER) | 
| Authorized Official Contact | 7328061087 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacey Robertson, Lcsw 175 Lott St Apt 3e Brooklyn NY 11226-5435 Ph: () -  | Stacey Robertson, Lcsw 175 Lott St Apt 3e Brooklyn NY 11226-5435 Ph: (732) 806-1087  | 
| NPI Number | 1194127142 | 
|---|---|
| Provider Enumeration Date | 09/22/2014 | 
| Last Update Date | 09/22/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194127142 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082326 (New York) | Primary | 
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