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

Nicole Stanek

Individual provider Social Worker · NPI 1083125686

Nicole Stanek is a Clinical Social Worker in Patchogue, New York. Qualified in 2017, 9 years ago. Practices with Wise Mind Psychological Services PLLC, a 6-clinician group. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017

Practice location Address checks out

475 E Main Street 1st Fl Ste 101
Patchogue, NY 11772
Phone: (631) 363-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 101991 (NY)

Record details

NPI number1083125686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 23, 2017
Mailing address15 Sea Breeze Ave, Westhampton, NY 11977-1519

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wise Mind Psychological Services Pllc — 6 clinicians
Accepts Medicare assignment Not indicated

Other providers in Patchogue