| Stacey Baratz Shapiro, Lcsw, Llc | |
|
602 E Baltimore Pike Media PA 19063-1735 | |
| (610) 608-2960 | |
| Not Available |
| Full Name | Stacey Baratz Shapiro, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 602 E Baltimore Pike, Media, Pennsylvania |
| Authorized Official Name and Position | Stacey Baratz Shapiro (MANAGER) |
| Authorized Official Contact | 6106082960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Baratz Shapiro, Lcsw, Llc 602 E Baltimore Pike Media PA 19063-1735 Ph: (610) 608-2960 | Stacey Baratz Shapiro, Lcsw, Llc 602 E Baltimore Pike Media PA 19063-1735 Ph: (610) 608-2960 |
| NPI Number | 1396778395 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396778395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW014535 (Pennsylvania) | Primary |
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