Provider Demographics
NPI:1598835472
Name:LEE, STANLEY V (MSW LMSW)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:V
Last Name:LEE
Suffix:
Gender:M
Credentials:MSW LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARMENT OF VETERANS AFFAIRS
Mailing Address - Street 2:10000 BRECKSVILLE RD
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141
Mailing Address - Country:US
Mailing Address - Phone:330-724-1247
Mailing Address - Fax:330-724-1029
Practice Address - Street 1:55 WEST WATERLOO RD AKRON CBOC
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319
Practice Address - Country:US
Practice Address - Phone:330-724-1247
Practice Address - Fax:330-724-1027
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical