Individual provider Active NPI

Stacy Lynette Braiuca, MSW,MPH,LCSW,LSCSW

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1700096831
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1999137993 Issued in MO
Practice address
1300 E Bradford Pkwy BLDG a
Springfield, MO 65804-4264
Phone
(417) 761-5000
Fax
(417) 761-5011
NPI assigned
May 24, 2007
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33844 MN
Clinical Social Worker 1041C0700X 1999137993 MO Primary
Clinical Social Worker 1041C0700X 2162 KS
Clinical Social Worker 1041C0700X 12439-C AR

Addresses

Primary practice location

1300 E Bradford Pkwy BLDG a
Springfield, MO 65804-4264

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other practice location 1

312 SW Greenwich Dr # 804
Lees Summit, MO 64082-4408
Phone (866) 393-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140602001119 MO Practitioner - Clinical Social Worker 1850514308 Reassigns benefits to 3 organizations
I20241202000279 KS Practitioner - Clinical Social Worker 1850514308 Reassigns benefits to 1 organization
I20241203002830 MN Practitioner - Clinical Social Worker 1850514308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12439-CARMDClinical Social Worker
2162KSMDClinical Social Worker
33844MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 22, 2024 Accepting new patients
Burrell, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 4, 2022 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Oct 22, 2024 Accepting new patients
John T Bopp PC Clinical Past Accepting new patients
Uplift Behavioral Health PC Clinical Past Accepting new patients
BPH LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 761-5214

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1700096831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E BRADFORD PKWY BLDG A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044264",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 SW Greenwich Dr # 804",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824408",
            "country_code": "US",
            "telephone_number": "866-393-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAIUCA",
        "first_name": "STACY",
        "middle_name": "LYNETTE",
        "credential": "MSW,MPH,LCSW,LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999137993",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "12439-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.