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

Individual provider Clinical Social Worker · NPI 1043408313

Stacy Renee Lee, LCSW is a Clinical Social Worker in Springfield, Illinois. Qualified in 2005, 21 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
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

751 N Rutledge St Ste 1100
Springfield, IL 62702
Phone: (217) 545-8000
Fax: (217) 545-4735
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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 149012726 (IL)

Record details

NPI number1043408313
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESJune 13, 2018
Mailing addressPo Box 19636, Springfield, IL 62794-9636

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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