Individual
MRS. STACY ANNETTE IVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
R51A (#070191978)
CA
1041C0700X
Clinical Social Worker
LCS 17495
CA
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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