| Doctor Name: | STACI LEE HERRICK |
| NPI Number: | 1437191335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R, ACSW |
| License Number: | 10058403R |
| Business Practice Address: | 53 W Main St Honeoye Falls, NY - 144721130 |
| Business Phone Number: | 5856247520 |
| Business Fax Number: | 5856247521 |
| Mailing Address: | Po Box 242, 53 West Main Street HONEOYE FALLS |
| State: | NY |
| Postal Code: | 144720242 |
| Phone Number: | 5856247520 |
| Fax Number: | 5856247521 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 10058403R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |