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

Stacey Fredericks, LCSW

Individual provider Clinical Social Worker · NPI 1912617721

Stacey Fredericks, LCSW is a Clinical Social Worker in East Hampton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

132 Briar Patch Rd
East Hampton, NY 11937-0242
Phone: (917) 887-4646
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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 R031020-1 (NY)

Record details

NPI number1912617721
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 2, 2022
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing addressP.O. Box 816, East Hampton, NY 11937-0242

Other providers in East Hampton