Stacy Renee Lee is a Clinical in Springfield, Illinois. Stacy Renee Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Renee Lee is 1043408313. The last update date is 2018-06-13.
Stacy Renee Lee's current location address is Po Box 19636, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2175454735. The mailing address for Stacy Renee Lee is Po Box 19636, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Renee Lee |
|---|---|
| Address | Po Box 19636, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2175454735 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1043408313 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2018-06-13 |
Provider Mailing Address Detail
| Address | Po Box 19636 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949636 |
| Phone Number | 2175458000 |
| Fax Number | 2175454735 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012726 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370966854005 | IL | -- | |
| 370966854024 | IL | -- | |
| 370966854002 | IL | -- | |
| 370966854004 | IL | -- | |
| 370966854015 | IL | -- | |
| CF3444 | IL | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacy Renee Lee by the Centers for Medicare & Medicaid Services?
The Stacy Renee Lee has been assigned the NPI (National Provider Identifier) 1043408313 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Stacy Renee Lee is located?
The Stacy Renee Lee is situated at the following address: Po Box 19636, Springfield, IL, 627949636.
What is Stacy Renee Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacy Renee Lee is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Stacy Renee Lee receive its 1043408313 assignment?
The Stacy Renee Lee was assigned its 1043408313 on 2007-10-11, which is the date when this unique identifier was issued to the organization.
When was the Stacy Renee Lee's information last updated?
The Stacy Renee Lee's information was last updated on 2018-06-13.
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