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

Individual provider Clinical Social Worker · NPI 1376092478

Mrs. Christy Stack, LCSW is a Clinical Social Worker in Cherry Hill, New Jersey. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
32
Licensed in
NJ
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

101 E Gate Dr
Cherry Hill, NJ 08034-2803
Phone: (856) 810-7599
Fax: (856) 810-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04407400 (NJ)

Record details

NPI number1376092478
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016
Mailing address206 N Vendome Ave, Margate City, NJ 08402-1246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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