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Active NPI 1255722500 Individual Practitioner Female Practitioner

Staci Smith , LISW-S

Social Worker - Clinical • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Staci Smith, LISW-S is a registered healthcare professional specializing in Social Worker - Clinical in Mansfield, OH. Practice services are available at 775 LEXINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

775 Lexington Ave

Mansfield, OH 449071906

Telephone 4197744010
Fax 4177744014

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Mansfield, OH (10077 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-12
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I.1500936-SUPV

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH S.1201024

Definition to come...

Secondary Practice Locations

11 Graham Dr

Athens, OH 457011430

Phone: 8003218293

3591 Reserve Commons Dr Ste 301

Medina, OH 442565334

Phone: 3307647916

Practice Associates & Co-Workers

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

13 Associated Practitioners
Melissa Berkshire

Case Manager/Care Coordinator

NPI 1255911301
Cara Snyder , MSW, LISW

Social Worker - Clinical

NPI 1295782027

Master of Social Work, Licensed Independent Social Worker

NPI 1306491634

Licensed Social Worker

NPI 1427675446

Licensed Social Worker

Kelly Dean

Case Manager/Care Coordinator

NPI 1447741830
Rebekah Carroll , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467955310

Certified Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated May 12, 2026

Recorded as STACI SMITH, LISW-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2026

Social Worker (License #I.1500936-SUPV in OH)

📍
Updated Practice Location October 07, 2019

Registered at 775 LEXINGTON AVE, MANSFIELD, OH 449071906 (Tel: 4197744010)

📍
Updated Practice Location March 12, 2019

Registered at 3591 RESERVE COMMONS DR STE 301, MEDINA, OH 442565334 (Tel: 3307647916)

📍
Updated Business Mailing Address March 12, 2019

Registered at 78 MAYFAIR RD, MANSFIELD, OH 449049781 (Tel: 2606686404)

👤
Provider Name / Credentials Updated March 12, 2019

Recorded as STACI SHAW, LISW-S

NPI Profile Active February 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2015

Registered at 151 MARION AVENUE, MANSFIELD, OH 449032223 (Tel: 4197749969)

📍
Updated Business Mailing Address February 09, 2015

Registered at 151 MARION AVENUE, MANSFIELD, OH 449032223 (Tel: 4197749969)

👤
Provider Name / Credentials Updated February 09, 2015

Recorded as STACI SHAW, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2015

Counselor (License #S.1201024 in OH)

🟢
Initial NPI Registration & Enumeration February 09, 2015

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: 1255722500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2015
Last Update: May 12, 2026
Sole Proprietor: No

Mailing Address

78 Mayfair Rd

Mansfield, OH 449049781

Phone: 2606686404

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.