MS. STACEY L. SPINA (MSW, LCSW) – Clinical Social Worker, NPI 1417510579

MS. STACEY L. SPINA (MSW, LCSW) is a healthcare provider. based in Toms river, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 44SC05984900 (NJ). The NPI Number for MS. STACEY L. SPINA (MSW, LCSW) is 1417510579

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. STACEY L. SPINA (MSW, LCSW)
NPI
1417510579
Phone
(732) 779-1081
Address
1007 ROBERTS AVE
Enumeration Date
15 April 2019
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6099166402
Graduation Year
2018 (8 years ago)
PAC ID
8224446968
Group Practice PAC ID
3072876994
Professional Enrollment ID
I20210420000117
Address ID
NJ085274032JA81XXXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for MS. STACEY L. SPINA (MSW, LCSW)

  • 1007, Roberts Avenue, Walnut Grove, Toms River, Ocean County, New Jersey, 08753, United States

    TOMS RIVER, NJ 087535438

    Phone: (732) 779-1081

    Type: Mailing

  • 1225-1255 WHITEHORSE MERCERVILLE RD

    HAMILTON, NJ 08619

    Phone: (609) 256-4200

    Type: Location

  • 1415 HOOPER AVE STE 305D

    TOMS RIVER, NJ 087532585

    Phone: (848) 863-8555

    Type: Location

  • 25D CRESTWOOD PKWY

    WHITING, NJ 087593455

    Phone: (732) 779-1081

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210420000117IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90785Psychiatric services complicated by communication factor54625$0
90837Psychotherapy, 1 hour54525$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 08753)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072876994View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

How do I look up MS. STACEY L. SPINA (MSW, LCSW) by NPI?
Use NPI 1417510579 when you need to reference MS. STACEY L. SPINA (MSW, LCSW) in forms, claims, or directories.
Is MS. STACEY L. SPINA (MSW, LCSW)'s NPI currently valid?
The extract we use shows MS. STACEY L. SPINA (MSW, LCSW) as active.
What field does MS. STACEY L. SPINA (MSW, LCSW) work in?
You can think of MS. STACEY L. SPINA (MSW, LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MS. STACEY L. SPINA (MSW, LCSW)?
We surface Toms River, New Jersey for MS. STACEY L. SPINA (MSW, LCSW) based on available NPPES addresses.
What if Toms River, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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