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

Staceyanne Charles-Polycarpe, LCSW

Individual provider Clinical Social Worker · NPI 1659620441

Staceyanne Charles-Polycarpe, LCSW is a Clinical Social Worker in Houston, Texas. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Florida and Texas.

Years since qualifying
17
Licensed in
FL, TX
In the registry since
2012
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

11526 Meadowchase Dr
Houston, TX 77065-4909
Phone: (347) 308-4351
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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 SW110131 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW18541 (FL)

Record details

NPI number1659620441
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 7, 2012
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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