MEDICARE: MS. STELLA J PADNOS 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
1	1041C0700X	Clinical Social Worker	080051	NY

General Provider Information

NPI Number	:	1497066021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STELLA J PADNOS LCSW

Provider Business Mailing Address
First Line	:	624 MARLBOROUGH RD # 4F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6555
Country	:	US
Telephone Number	:	917-545-3807
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 MARLBOROUGH RD # 4F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6555
Country	:	US
Telephone Number	:	917-545-3807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	05/08/2026

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