Healthcare Provider Details

I. General information

NPI: 1437910288
Provider Name (Legal Business Name): STACIE ANNE SEARLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 EMRICK BLVD STE 201
BETHLEHEM PA
18020-8039
US

IV. Provider business mailing address

1157 MARBLE DR
BETHLEHEM PA
18017-1640
US

V. Phone/Fax

Practice location:
  • Phone: 484-206-5699
  • Fax:
Mailing address:
  • Phone: 315-484-8671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027645
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW139962
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: