Individual
ANGELIQUE PATRICIA STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
68 E MARIE ST, HICKSVILLE, NY 11801-4314
(516) 501-9500
(516) 575-8444
Mailing address
68 E MARIE ST, HICKSVILLE, NY 11801-4314
(516) 495-9575
(516) 575-8444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
160788
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
160788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NY
Enumeration date
10/28/2016
Last updated
03/27/2026
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