MRS. STACY ANNETTE IVERY L.C.S.W. NPI 1871703900

NPI Information

NPI: 1871703900
Provider Name: MRS. STACY ANNETTE IVERY, L.C.S.W.
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
1200 BLAZEWOOD ST
RIVERSIDE, CA
ZIP 92507
Phone: (951) 377-1087
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MRS. Stacy Annette Ivery, L.C.S.W. is a school counselor in Riverside, CA. MRS. Stacy Annette Ivery, L.C.S.W. NPI is 1871703900. 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:

1200 BLAZEWOOD ST
RIVERSIDE, CA
ZIP 92507-909
Phone: (951) 377-1087
Fax: (951) 683-3323

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/8/2007.

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
1	101YS0200X	Counselor	School	R51A (#070191978)	CALIFORNIA	Yes
2	1041C0700X	Social Worker	Clinical	LCS 17495	CALIFORNIA	X

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: 11/14/2023

NPI Synchronization or Removal

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