MS. STACY KANEN-GREEN LCSW NPI 1598777955

NPI Information

  • NPI: 1598777955
  • Provider Name: MS. STACY KANEN-GREEN, LCSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11 ROUTE 111
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (631) 920-8300

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NPI Details

MS. Stacy Kanen-green, LCSW is an addiction (substance use disorder) counselor in Smithtown, NY with 22 years of experience. MS. Stacy Kanen-green, LCSW NPI is 1598777955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 ROUTE 111
SMITHTOWN, NY
ZIP 11787-712
Phone: (631) 920-8300
Fax: (631) 920-8460

The NPI 1598777955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical0444701NEW YORKNo
2101YA0400XCounselorAddiction (Substance Use Disorder)12340NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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