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Active NPI 1043408313 Individual Practitioner Female Practitioner

Stacy Renee Lee , LCSW

Social Worker - Clinical • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Lee, LCSW is a certified Social Worker - Clinical practicing in Springfield, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Stacy Lee delivers high-quality medical care to the local community at 751 N RUTLEDGE ST STE 1100.

Stacy Lee is affiliated with Board Of Trustees Of Southern Illinois University and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 1100

Springfield, IL 62702

Telephone 2175458000
Fax 2175454735
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +1.7 yrs vs City Avg
City Avg: 19.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
197 Specialists

Practicing in Springfield, IL (14000 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (21 Years) 21 Yrs
Springfield Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
96 25 $254.00 $103.66
90834 Psychotherapy, 45 minutes
67 19 $173.00 $69.47
90791 Psychiatric diagnostic evaluation
14 14 $339.00 $107.20

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149012726

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370966854005 (IL)
Medicaid State Provider ID
370966854024 (IL)
Medicaid State Provider ID
370966854002 (IL)
Medicaid State Provider ID
370966854004 (IL)
Medicaid State Provider ID
370966854015 (IL)
Commercial Insurance / Payer ID Medicare Rr
CF3444 (IL)

Hospital & Practice Group Affiliations

Board Of Trustees Of Southern Illinois University

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 13, 2018

Registered at 751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702 (Tel: 2175458000)

📍
Updated Business Mailing Address June 13, 2018

Registered at PO BOX 19636, SPRINGFIELD, IL 627949636 (Tel: 2175458000)

NPI Profile Active May 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2012

Registered at 901 W JEFFERSON ST, SPRINGFIELD, IL 627024833 (Tel: 2175458229)

📍
Updated Business Mailing Address May 17, 2012

Registered at PO BOX 19642, SPRINGFIELD, IL 627949642 (Tel: 2175458229)

👤
Provider Name / Credentials Updated May 17, 2012

Recorded as STACY LEE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2012

Social Worker (License #149012726 in IL)

🟢
Initial NPI Registration & Enumeration October 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043408313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2007
Last Update: June 13, 2018
Sole Proprietor: No

Mailing Address

Po Box 19636

Springfield, IL 627949636

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.