Active NPI 1548655244 Individual Practitioner Female Practitioner

Stacy Hicks

Specialist • Clinton, NY

Professional Overview & Biography Verified Profile Summary

Stacy Hicks is a registered healthcare professional specializing in Specialist in Clinton, NY. Practice services are available at 19 ROBINSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19 Robinson Rd

Clinton, NY 133231418

Telephone 3158536090

Associated Practice Facility / Clinic

🏢 Building Blocks Learning Center, Llc Facility NPI 1568607042

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clinton, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Clinton, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 920002151

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Hope Walker

Case Manager/Care Coordinator

NPI 1003763343

Lauren Dicocco

Case Manager/Care Coordinator

NPI 1013769926

Samantha Vedete

Specialist

NPI 1013837608

June Harris-Forrester , MSED

Specialist

NPI 1023583648

Master of Science in Education

Christiana Rowlands

Occupational Therapist

NPI 1023745460

Scarlett Moynihan

Case Manager/Care Coordinator

NPI 1023983954

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2015

Registered at 19 ROBINSON RD, CLINTON, NY 133231418 (Tel: 3158536090)

📍

Updated Business Mailing Address March 31, 2015

Registered at 229 N MULLIGAN RD, SHERBURNE, NY 134604929

👤

Provider Name / Credentials Updated March 31, 2015

Recorded as STACY HICKS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Specialist (License #920002151 in NY)

🟢

Initial NPI Registration & Enumeration March 31, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548655244

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2015

Last Update: March 31, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

229 N Mulligan Rd

Sherburne, NY 134604929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.