STACEY SHANE-NUSBAUM LCSW NPI 1740840040

NPI Information

  • NPI: 1740840040
  • Provider Name: STACEY SHANE-NUSBAUM, LCSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6039 COLLINS AVE APT 1711
    MIAMI BEACH, FL
    ZIP 33140
  • Phone: (305) 989-5493

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NPI Details

Stacey Shane-nusbaum, LCSW is a social worker in Miami Beach, FL. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Stacey Shane-nusbaum, LCSW NPI is 1740840040. 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:

6039 COLLINS AVE APT 1711
MIAMI BEACH, FL
ZIP 33140-256
Phone: (305) 989-5493

The NPI 1740840040 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/18/2019 and was last updated on 3/8/2024.

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
1104100000XSocial WorkerYes
21041C0700XSocial WorkerClinicalSW16157No

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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