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

MS. Stacy Ann Bartholomew, LCSW

Individual provider Clinical Social Worker · NPI 1376466748

MS. Stacy Ann Bartholomew, LCSW is a Clinical Social Worker in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
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

1227 Main St
Port Jefferson, NY 11777-2227
Phone: (631) 985-0903
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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 103122 (NY)

Record details

NPI number1376466748
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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