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Contact Information

STACY R LEE, LCSW
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL62702
 Phone: 217-545-8000
 Fax: 217-545-4735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STACY R LEE · (Female)

NPI # 1043408313
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/11/2007
Last updated 06/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149012726
  • IL Medicaid 370966854002
  • IL Medicaid 370966854004
  • IL Medicaid 370966854005
  • IL Medicaid 370966854015
  • IL Medicaid 370966854024
  • IL Other CF3444 MEDICARE RR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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