Individual provider · Type 1 NPI

Stacey Lillebo-Miller, LICSW

Clinical Social Worker · Coon Rapids, MN

NPI number 1093476632 Active

Practice location

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841

Call (763) 780-9155 Map

Mailing address

6908 10th Ave S
Richfield, MN 55423-2503

Other practice locations

  • 303 Catlin St, Buffalo, MN 55313-1947 · (763) 682-5225

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26850 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1093476632

Stacey Lillebo-Miller, LICSW's National Provider Identifier is 1093476632, issued on Jan 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 5, 2022.