Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Grace Willson, LCSW

Individual provider Clinical Social Worker · NPI 1134177678

Stacey Grace Willson, LCSW is a Clinical Social Worker in Lafayette, Louisiana. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
37
Licensed in
LA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

200 N Lakepointe Dr
Lafayette, LA 70506-6431
Phone: (337) 412-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3156 (LA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 37976 (TX)

Record details

NPI number1134177678
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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