Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lillebo-Miller, LICSW

Individual provider Clinical Social Worker · NPI 1093476632

Stacey Lillebo-Miller, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 Catlin St, Buffalo, MN 55313-1947 — (763) 682-5225

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 26850 (MN)

Record details

NPI number1093476632
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

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