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

Mrs. Stacie Lee Kolker, LCSW

Individual provider Social Worker · NPI 1639626419

Mrs. Stacie Lee Kolker, LCSW is a Social Worker in Kings Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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

30 Bruce Ln S
Kings Park, NY 11754-4508
Phone: (631) 365-3031
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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 090095 (NY)
Social Worker Taxonomy 104100000X · Licence 096104 (NY)

Record details

NPI number1639626419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2016
Last updated in NPPESJuly 5, 2022
Certification dateJuly 1, 2022

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