STACY RENEE LEE (NPI# 1043408313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043408313 |
| Entity Type | Individual |
| Full Name | STACY RENEE LEE |
| Credential | LCSW |
| Practice Address |
751 N Rutledge St Ste 1100 Springfield IL 62702 |
| Mailing Address |
Po Box 19636 Springfield IL 62794-9636 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175454735 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175454735 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149012726 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370966854002 | 05 | |
| IL | 370966854005 | 05 | |
| IL | 370966854015 | 05 | |
| IL | 370966854024 | 05 | |
| IL | MEDICARE RR | CF3444 | 01 |
| IL | 370966854004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972756500 | Stacy Kathleen Lee | Marriage & Family Therapist | 3705 Haven Ave # 119, Menlo Park, CA 94025-1011 | 2008-10-28 |
| 1225232309 | Stacy L. Lee | Radiology | 300 Miron Dr, Southlake, TX 76092-7862 | 2007-06-13 |
| 1366066755 | Stacy Lee | Pharmacist | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2020-06-02 |
| 1649812355 | Stacy M Lee | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-10-14 |
| 1073169447 | Stacy Lynn Lee | Behavior Technician | 1237 Augusta West Pkwy, Augusta, GA 30909 | 2019-08-12 |
| 1124520598 | Stacy Lee | Chore Provider | 1840 E Calvada Blvd Ste 9, Pahrump, NV 89048-5843 | 2018-03-01 |
| 1477073534 | Stacy Lynn Lee | Nurse Practitioner | 14125 Steele Creek Rd, Charlotte, NC 28273-3968 | 2017-06-20 |
| 1982089686 | Stacy Janelle Lee | Nurse Practitioner | 168 S Howell St, Hillsdale, MI 49242-2040 | 2015-07-23 |
| 1659760767 | Stacy Lee | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-01-13 |
| 1003236746 | Stacy Lee | Counselor | 584 Kentucky Ave, Woodland, CA 95695-2779 | 2014-04-21 |
| Street Address |
751 N RUTLEDGE ST STE 1100 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013636 | Zafar Quader | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2005-09-12 |
| 1679188437 | Board of Trustees of Southern Illinois University | Clinic/Center | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2020-09-09 |
| 1285110213 | Nevin I Corcoran | Nurse Practitioner | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2018-07-12 |
| 1922596568 | Hannah J. Bettis | Nurse Practitioner | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2018-04-30 |
| 1669983789 | Elizabeth Lauren Stuart | Registered Nurse | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2017-10-16 |
| 1831619022 | Cameron Koester | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2017-06-20 |
| 1346777026 | Nitin Tandan | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2017-05-12 |
| 1033642509 | Abdul Monem Swied | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2017-04-11 |
| 1902288988 | Anshul Pandey | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2015-06-25 |
| 1730561903 | Mohammad Al-akchar | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on STACY RENEE LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.