Provider Demographics
NPI:1154780336
Name:REICHER, STACEY HOPKINS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:HOPKINS
Last Name:REICHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:89 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1516
Mailing Address - Country:US
Mailing Address - Phone:860-313-0682
Mailing Address - Fax:860-837-6736
Practice Address - Street 1:505 FARMINGTON AVE FL 2
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1901
Practice Address - Country:US
Practice Address - Phone:860-837-6736
Practice Address - Fax:860-837-6765
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0048791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical