MADISON BREANNE STURROCK (LMSW) – Social Worker, NPI 1790500031

MADISON BREANNE STURROCK (LMSW) is a healthcare provider. based in Mexico, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. The NPI Number for MADISON BREANNE STURROCK (LMSW) is 1790500031

Main info

Female
2 Years Of Experience
Name
MADISON BREANNE STURROCK (LMSW)
NPI
1790500031
Phone
(573) 582-1234
Address
340 KELLEY PKWY
Enumeration Date
21 November 2024
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
7517482730
Professional Enrollment ID
I20250421002273
Address ID
MO652653811ME340XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for MADISON BREANNE STURROCK (LMSW)

  • 340 KELLEY PKWY

    MEXICO, MO 652653811

    Phone: (573) 582-1234

    Fax: (573) 582-1212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250421002273IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65265)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MADISON BREANNE STURROCK (LMSW)?
MADISON BREANNE STURROCK (LMSW) — NPI 1790500031 — is the standard way to identify this listing.
Does the file indicate MADISON BREANNE STURROCK (LMSW) is practicing under active NPI?
Directory data currently reports MADISON BREANNE STURROCK (LMSW) as active.
What taxonomy line describes MADISON BREANNE STURROCK (LMSW)?
For research purposes, treat MADISON BREANNE STURROCK (LMSW) as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is MADISON BREANNE STURROCK (LMSW) based?
MADISON BREANNE STURROCK (LMSW) is tied to Mexico, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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