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

Stacey R Burge, LISW-SUPV

Individual provider Clinical Social Worker · NPI 1124250485

Stacey R Burge, LISW-SUPV is a Clinical Social Worker in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009

Practice location Address checks out

2747 Losantiville Ave
Cincinnati, OH 45213-1265
Phone: (513) 633-8451
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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 I.0009345-SUPV (OH)

Record details

NPI number1124250485
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPV
Sole proprietorNo
NPI enumeratedAugust 19, 2009
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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