Healthcare Provider Details

I. General information

NPI: 1376452839
Provider Name (Legal Business Name): STACEY ANN EHRHARD LCSW MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 MAIN ST STE 3A
FLEMINGTON NJ
08822-1694
US

IV. Provider business mailing address

134 MAIN ST STE 3A
FLEMINGTON NJ
08822-1694
US

V. Phone/Fax

Practice location:
  • Phone: 908-894-9099
  • Fax: 908-806-4971
Mailing address:
  • Phone: 908-894-9099
  • Fax: 908-806-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04622400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: