| Stacey Balkanski, Lcsw, Llc | |
|
817 S University Dr Ste 121 Plantation FL 33324-3318 | |
| (754) 702-7659 | |
| (954) 200-6144 |
| Full Name | Stacey Balkanski, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 817 S University Dr Ste 121, Plantation, Florida |
| Authorized Official Name and Position | Stacey Elise Balkanski (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9545578625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Balkanski, Lcsw, Llc 9715 W Broward Blvd # 230 Plantation FL 33324-2351 Ph: (954) 557-8625 | Stacey Balkanski, Lcsw, Llc 817 S University Dr Ste 121 Plantation FL 33324-3318 Ph: (754) 702-7659 |
| NPI Number | 1295038123 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 04/11/2020 |
| Certification Date | 04/11/2020 |
| Medicare PECOS PAC ID | 4183813272 |
|---|---|
| Medicare Enrollment ID | O20110105000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295038123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey Elise Balkanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396079372 PECOS PAC ID: 5092904185 Enrollment ID: I20110209000495 |
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