IndividualActive
Stacey Burge, LISW-SUPV
NPI 1124250485 · Clinical Social Worker · Cincinnati, OH
Provider details
- NPI number
- 1124250485
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW-SUPV
- Sex
- Female
- Sole proprietor
- No
- License
- I.0009345-SUPV (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2747 Losantiville Ave
Cincinnati, OH 45213-1265
Phone: (513) 633-8451
Street-level locationGet directions
Mailing address
2747 Losantiville Ave
Cincinnati, OH 45213-1265
Registry dates
- Enumerated
- 2009-08-19
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.