Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Stacey R Dewan

Individual provider Mental Health Counselor · NPI 1629940036

Miss. Stacey R Dewan is a Mental Health Counselor in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1000 Main St
Port Jefferson, NY 11777-2250
Phone: (631) 296-1113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1629940036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

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