STACEY LILLEBO-MILLER LICSW
NPI 1093476632
Social Worker - Clinical in Coon Rapids, MN

Active since January 05, 2022
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Lillebo-miller Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LILLEBO-MILLER LICSW (NPI 1093476632) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (26850) and active in the NPI registry since January 2022. She maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1093476632
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY LILLEBO-MILLERCredential: LICSW
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address6908 10th Ave SRichfield, MN 55423-2503
Sole ProprietorYes
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
NPI 1093476632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 26850
Definition
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.
9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

Other Names 1

Professional Name (2)Stacey Lillebo Licsw

Secondary Practice Location 1

Location 1303 Catlin StBuffalo, MN 55313-1947 · Phone (763) 682-5225

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Lillebo-miller's NPI number?

The NPI number for Stacey Lillebo-miller is 1093476632. It was assigned to this individual provider in the NPPES registry on January 5, 2022. The provider is also known as Stacey Lillebo Licsw.

Where is Stacey Lillebo-miller located?

Stacey Lillebo-miller practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.

What is Stacey Lillebo-miller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Stacey Lillebo-miller was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.