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

Mrs. Stacey Keane Boden, LICSW

Individual provider Clinical Social Worker · NPI 1790468569

Mrs. Stacey Keane Boden, LICSW is a Clinical Social Worker in Mc Guire AFB, New Jersey. Licensed in Alabama and New Jersey. Registered with an NPI since 2023.

Licensed in
AL, NJ
In the registry since
2023
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

3458 Neely Rd
Mc Guire AFB, NJ 08641-5312
Phone: (866) 377-2778
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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 5267C-S (AL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC06491300 (NJ)

Record details

NPI number1790468569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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