STACI SMITH LISW-S
NPI 1255722500
Social Worker - Clinical in Mansfield, OH

Q: What is Staci Smith's NPI number?

The NPI number for Staci Smith is 1255722500. It was assigned to this individual provider in the NPPES registry on February 9, 2015. The provider is also known as Staci Shaw Lisw-S.

Q: What is Staci Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staci Smith was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 09, 2015

775 LEXINGTON AVE, MANSFIELD, OH 44907(419) 774-4010(417) 774-4014 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Oct 7, 2019, Mar 12, 2019 (3 updates tracked since 2019).

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About Staci Smith Lisw-s NPPES

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

STACI SMITH LISW-S (NPI 1255722500) is an individual clinical provider in Mansfield, Ohio, licensed in Ohio (I.1500936-SUPV) and active in the NPI registry since February 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255722500

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACI SMITHCredential: LISW-S

Location Address775 LEXINGTON AVEMansfield, OH 44907-1906

Mailing Address78 Mayfair RdMansfield, OH 44904-9781 · (260) 668-6404

Phone(419) 774-4010

Fax(417) 774-4014

Sole ProprietorNo

Enumeration DateFebruary 9, 2015

Last NPPES UpdateMay 12, 20263 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1255722500 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.1500936-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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License S.1201024 (OH)

775 LEXINGTON AVE, Mansfield, OH 44907

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Other Names 1

Former Name (1)Staci Shaw Lisw-s

Secondary Practice Locations 2

Location 111 Graham DrAthens, OH 45701-1430 · Phone (800) 321-8293 · Fax (800) 321-8293

Location 23591 Reserve Commons Dr Ste 301Medina, OH 44256-5334 · Phone (330) 764-7916 · Fax (419) 756-5642

Other Providers at the Same Location NPPES 16

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

MRS. ANDREA JEAN KING LSW

Social Worker