Individual provider Active NPI

Stephanie N Czarnecki, LCSW

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1285250282
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2022025574 Issued in MO
Practice address
305 S Virginia Ave
Joplin, MO 64801-2323
Phone
(417) 347-7773
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20200180012 MO
School Social Worker 1041S0200X 2020018012 MO
Clinical Social Worker 1041C0700X 2022025574 MO Primary

Addresses

Primary practice location

305 S Virginia Ave
Joplin, MO 64801-2323

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7579

Other practice location 1

1824 Glenwood Dr
Joplin, MO 64801-9788
Phone (808) 798-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 17, 2024 through Dec 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20200180012MOMDClinical Social Worker
2020018012MOMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Horizons Counseling LLC Clinical PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1285250282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S VIRGINIA AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012323",
            "telephone_number": "417-347-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Glenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648019788",
            "country_code": "US",
            "telephone_number": "808-798-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "20200180012",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MO",
            "license": "2020018012",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022025574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.