Stacy Leo, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11801 Issued in SC

Practice address

77 Hazzard Creek VLG
Ridgeland, SC 29936-8266

Phone

(843) 645-7700

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • North Charleston, SC
  • NPI 1730586694
  Medicare reassignment NPD
• New Beginnings Therapeutic Counseling Services

  • Clinical Social Worker
  • Beaufort, SC
  • NPI 1386516920
  NPD Authorized official
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1841943495
  NPD
• Carolina Counseling and Psychiatry

  • Mental Health Counselor
  • Greer, SC
  • NPI 1932708831
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1396329298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "443-235-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "STACY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sleowdfs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "77 Hazzard Creek Vlg",
            "city": "Ridgeland",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299368266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline P Lasell
• Leads Way LLC
• Leads Way Medical Center
• Leads Way Therapeutic Services
• Lori A. Lee, DNP
• Amanda Mary Levinson, LPC-A
• Life Lifts LLC (Life Lifts Independent Living Aids)
• Lincare Inc.
• Live Oaks Physical Therapy
• Danielle Long, MASSAGE THERAPIST

• Clinical Social Worker in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.