Healthcare Provider Details

I. General information

NPI: 1548969538
Provider Name (Legal Business Name): STACI R MOREY, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5458 TOWN CENTER RD STE 13
BOCA RATON FL
33486-1026
US

IV. Provider business mailing address

5458 TOWN CENTER RD STE 13
BOCA RATON FL
33486-1026
US

V. Phone/Fax

Practice location:
  • Phone: 561-544-7799
  • Fax:
Mailing address:
  • Phone: 561-544-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: STACI MOREY
Title or Position: OWNER
Credential: LCSW
Phone: 619-370-4279