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

Staci Lee McNicholl, LCSW

Individual provider Clinical Social Worker · NPI 1538490172

Staci Lee McNicholl, LCSW is a Clinical Social Worker in Champaign, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
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

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone: (217) 722-9079
Fax: (217) 501-4322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1612 Patton Dr, Mahomet, IL 61853-8157 — (217) 590-4178

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149010173 (IL)

Record details

NPI number1538490172
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 21, 2010
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025

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