Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacy Kanen-Green, LCSW

Individual provider Clinical Social Worker · NPI 1598777955

MS. Stacy Kanen-Green, LCSW is a Clinical Social Worker in Smithtown, New York. Qualified in 2004, 22 years ago. Practices with New Horizon Counseling Center Inc, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
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

11 Route 111
Smithtown, NY 11787-3712
Phone: (631) 920-8300
Fax: (631) 920-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12340 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0444701 (NY)

Record details

NPI number1598777955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice New Horizon Counseling Center Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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