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

Individual provider Clinical Social Worker · NPI 1396329298

Stacy Leo, LISW-CP is a Clinical Social Worker in Ridgeland, South Carolina. Qualified in 2015, 11 years ago. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2021
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Practice location Address checks out

77 Hazzard Creek Vlg
Ridgeland, SC 29936-8266
Phone: (843) 645-7700
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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 11801 (SC)

Record details

NPI number1396329298
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Ridgeland