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

Mrs. Kim Stacey Spicciatie, LCSW

Individual provider Clinical Social Worker · NPI 1679857262

Mrs. Kim Stacey Spicciatie, LCSW is a Clinical Social Worker in East Islip, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

153 Simmons Dr
East Islip, NY 11730-3436
Phone: (631) 859-0738
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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 078707 (NY)

Record details

NPI number1679857262
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 1, 2011
Last updated in NPPESMarch 2, 2012

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