Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Christy Stack, LCSW

Individual provider Clinical Social Worker · NPI 1376092478

Mrs. Christy Stack, LCSW is a Clinical Social Worker in Cherry Hill, New Jersey. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
32
Licensed in
NJ
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

101 E Gate Dr
Cherry Hill, NJ 08034-2803
Phone: (856) 810-7599
Fax: (856) 810-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04407400 (NJ)

Record details

NPI number1376092478
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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