Stephanie M Wacaser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015044120 Issued in MO

Practice address

1354 E Kingsley St Ste a
Springfield, MO 65804-7225

Phone

(417) 245-2944

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie M Lockhart Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healing Bridge LLC

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1891266375
  Medicare reassignment NPD Authorized official
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763

  MO

  Medicare reassignment NPD
• Psych Associates LLC

  • Health Service Psychologist
  • Springfield, MO
  • NPI 1316458441
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1619200490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E PLACER MILL RD",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 E KINGSLEY ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047225",
            "telephone_number": "417-245-2944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1354 E Kingsley St Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047225",
            "country_code": "US",
            "telephone_number": "417-245-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACASER",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015044120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LOCKHART",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordyn Vrba, ATS
• VSL Springfield Assisted Living LLC
• VSL Springfield Manor LLC
• Murali Mohan Rao Vuda, M.D
• Keith Allen Vunesky, PSY.D.
• Barbara Wachtel-Nash, PSYD
• Wade Wheeler D.D.S.P.C.
• William A Wagasy, D.D.S.
• Caitlyn Jo Wages, DC
• Susan Waggoner, MA

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.