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

Individual provider Clinical Social Worker · NPI 1598487183

Stacey Rupolo is a Clinical Social Worker in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Brianna Sorensen LCSW PC, a 5-clinician group.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

4845 N Magnolia Ave Apt 2E
Chicago, IL 60640-4725
Phone: (203) 962-2918
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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

Record details

NPI number1598487183
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brianna Sorensen Lcsw Pc — 5 clinicians
Accepts Medicare assignment Not indicated

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