Individual provider Active NPI

Breanna M Stirrett, LCSW

  • Clinical Social Worker
  • Taylorville, IL
National Provider Identifier
1609266303
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017315 Issued in IL
Practice address
403 W Main Cross St
Taylorville, IL 62568-2155
Phone
(217) 824-6431
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017315 IL Primary

Addresses

Primary practice location

403 W Main Cross St
Taylorville, IL 62568-2155

Mailing address

403 W Main Cross St
Taylorville, IL 62568-2155
Phone (217) 824-6431

Other practice location 1

8 Huber St
Pana, IL 62557-1721
Phone (217) 562-6380

Other practice location 2

1144 Route 29
Taylorville, IL 62568-7879
Phone (217) 824-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017315ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Christian PastSince Feb 1, 2015 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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1609266303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W MAIN CROSS ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682155",
            "telephone_number": "217-824-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAIN CROSS ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682155",
            "telephone_number": "217-824-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Huber St",
            "address_purpose": "LOCATION",
            "city": "Pana",
            "state": "IL",
            "postal_code": "625571721",
            "country_code": "US",
            "telephone_number": "217-562-6380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1144 Route 29",
            "address_purpose": "LOCATION",
            "city": "Taylorville",
            "state": "IL",
            "postal_code": "625687879",
            "country_code": "US",
            "telephone_number": "217-824-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIRRETT",
        "first_name": "BREANNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.