Individual
STACEY DEMAREY
Active
Individual
STACEY DEMAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C-09782
NM
1041C0700X
Clinical Social Worker
Primary
C-09782
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51573598
—
NM
Enumeration date
10/27/2014
Last updated
09/23/2025
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