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NPI Code Detail

MEDICARE: STACY MCKINNEY LCSW

MEDICARE:   STACY  MCKINNEY  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 Worker0904016063VA

General Provider Information

NPI Number : 1316825235
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY MCKINNEY LCSW
Provider Business Mailing Address
First Line : PO BOX 7420
Second Line :
City : RICHMOND
State : VA
Zip : 23221-0420
Country : US
Telephone Number : 804-374-9829
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 7420
Second Line :
City : RICHMOND
State : VA
Zip : 23221-0420
Country : US
Telephone Number : 804-374-9829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 10/02/2025

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Directions to “ STACY MCKINNEY LCSW” Practice Location

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