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NPI Code Detail

MEDICARE: STACIE DUBNOFF LCSW

MEDICARE:   STACIE  DUBNOFF  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker093393NY

General Provider Information

NPI Number : 1346623642
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE DUBNOFF LCSW
Provider Business Mailing Address
First Line : 70 PARK ST STE 208
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 70 PARK ST STE 208
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2960
Country : US
Telephone Number : 551-310-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2015
Last Update Date : 05/22/2025

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Directions to “ STACIE DUBNOFF LCSW” Practice Location

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