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

Individual provider Clinical Social Worker · NPI 1912076746

MS. Stacie Degeneffe, AM is a Clinical Social Worker in Emeryville, California. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1240 Powell St Ste 2C
Emeryville, CA 94608
Phone: (510) 384-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 378 Van Buren Ave, Oakland, CA 94610-4849 — (510) 384-2088

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 22418 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 076823 (NY)

Record details

NPI number1912076746
Entity typeIndividual (Type 1)
GenderFemale
Credentials AM
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESOctober 8, 2018

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