MS. STACY M MANDATO MSSA, LSW
NPI 1174829469
Social Worker - Clinical in Louisville, OH

Active since February 03, 2011
1302 W MAIN ST STE A, LOUISVILLE, OH 44641(330) 875-5544(330) 875-8150 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stacy M Mandato Mssa, Lsw NPPES

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

MS. STACY M MANDATO MSSA, LSW (NPI 1174829469) is an individual clinical provider in Louisville, Ohio, licensed in Ohio (I.1801296-SUPV) and active in the NPI registry since February 2011. She maintains a secondary practice location in Mentor.

NPPES Registry Identity

NPI1174829469
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACY M MANDATOCredential: MSSA, LSW
Location Address1302 W MAIN ST STE ALouisville, OH 44641-1114
Mailing AddressPo Box 932909Cleveland, OH 44193-2909 · (330) 825-1152 · Fax (330) 854-0829
Fax(330) 875-8150
Sole ProprietorNo
Enumeration DateFebruary 3, 2011
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1174829469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.1801296-SUPV
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.
Also ListedCounselorTaxonomy 101Y00000X · License S1000364 (OH)
1302 W MAIN ST STE A, Louisville, OH 44641

Secondary Practice Location 1

Location 18445 Munson RdMentor, OH 44060-2410 · Phone (440) 255-1700 ext. 1457 · Fax (440) 205-2417

Other Identifiers 1

Medicaid2069738OH

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Primary Care)
1302 W MAIN ST STE A
LOUISVILLE, OH 44641
Internal Medicine
1302 W MAIN ST STE A
LOUISVILLE, OH 44641
Family Medicine
1302 W MAIN ST STE A
LOUISVILLE, OH 44641
Nurse Practitioner (Adult Health)
1302 W MAIN ST STE A
LOUISVILLE, OH 44641
Social Worker (Clinical)
1302 W MAIN ST STE A
LOUISVILLE, OH 44641

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 Stacy Mandato's NPI number?

The NPI number for Stacy Mandato is 1174829469. It was assigned to this individual provider in the NPPES registry on February 3, 2011.

Where is Stacy Mandato located?

Stacy Mandato practices at 1302 W Main St Ste A, Louisville, OH 44641. The listed phone number is (330) 875-5544.

What is Stacy Mandato'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 Stacy Mandato was last updated on March 28, 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.