Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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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
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Practice location Address checks out

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 132 a service is one billed item, such as a visit, a test or a procedure
Average patient age47

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Wise Mind Psychological Services PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Patchogue