Provider Demographics
NPI:1255598801
Name:FEINSTEIN, STACI MELISSA (LCSW)
Entity type:Individual
Prefix:
First Name:STACI
Middle Name:MELISSA
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STRICKLAND RD APT 3
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2735
Mailing Address - Country:US
Mailing Address - Phone:917-658-5015
Mailing Address - Fax:
Practice Address - Street 1:777 W PUTNAM AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5000
Practice Address - Country:US
Practice Address - Phone:203-220-2282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0756361041C0700X
CT72181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical