Stacey Richard-Baal, MSW, LCSW, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

130055-121 Issued in WI

Practice address

6058 S Chestnut St Ste 100
Platteville, WI 53818-8947

Phone

(608) 342-4853

Fax

(608) 348-3072

NPI assigned

Dec 28, 2015

Last updated

Dec 14, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Driftless Area Behavioral Services LLCGroup PAC ID 6002205895, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Driftless Area Behavioral Services, LLC

  • Clinical Social Worker
  • Platteville, WI
  • NPI 1982374344
  Medicare reassignment Care Compare group Authorized official
• SRB Counseling, LLC

  • Clinical Social Worker
  • Dubuque, IA
  • NPI 1265070197
  Authorized official Same address or phone
• Heartland Integrated Health Wi LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Platteville, WI
  • NPI 1598602484
  NPD (past)
• WKM Psychology Clinics, Inc.

  • Psychologist
  • Platteville, WI
  • NPI 1659387009
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1720443377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 INDIANA CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015482",
            "telephone_number": "563-581-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 S CHESTNUT ST STE 100",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188947",
            "telephone_number": "608-342-4853",
            "fax_number": "608-348-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Main St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520016844",
            "country_code": "US",
            "telephone_number": "563-557-6870 x1",
            "fax_number": "563-557-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD-BAAL",
        "first_name": "STACEY",
        "credential": "MSW, LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "074703",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130055-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• Elisabeth Kathryn Pugliese, M.S.E., LPC-IT
• Kyle Quillin
• Alison E Ragatz, PA
• Ronald R Reschly, M.D.
• Linda Richardson
• Nathan Richardson
• Lisa Pagliaro Riley, LCSW
• Todd Roger Riley, M.D.
• Austin Jeffrey Roach, DNP, CRNA

• Social Worker in Platteville, WI
• Providers in Platteville, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.