STACY LYNETTE BRAIUCA (MSW,MPH,LCSW,LSCSW) – Clinical Social Worker, NPI 1700096831
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACY LYNETTE BRAIUCA (MSW,MPH,LCSW,LSCSW)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Location
312 SW GREENWICH DR # 804
LEES SUMMIT, MO 640824408
Phone: (866) 393-4242
Type: Mailing
312 SW Greenwich Dr # 804
Lees Summit, MO 640824408
Phone: (866) 393-4242
Type: Location
9507, East 69th Street, Laurel Heights, Raytown, Jackson County, Missouri, 64133, United States
RAYTOWN, MO 641335940
Phone: (816) 282-2626
Type: Mailing
2885 W BATTLEFIELD ST
SPRINGFIELD, MO 658073952
Phone: (417) 761-5000
Type: Mailing
1300 E BRADFORD PKWY BLDG A
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Location
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: 2024-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140602001119 | I | Clinical Social Worker | MO | TBD |
| I20241202000279 | I | Clinical Social Worker | KS | TBD |
| I20241203002830 | I | Clinical Social Worker | MN | TBD |
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.
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 65804)
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