Individual provider Active NPI

Stephanie Michelle Lorance, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1801121652
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011018274 Issued in MO
Practice address
4304 S Bearfield Rd
Columbia, MO 65201-9557
Phone
(573) 874-8686
NPI assigned
Oct 13, 2009
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2011018274 MO Primary

Addresses

Primary practice location

4304 S Bearfield Rd
Columbia, MO 65201-9557

Mailing address

4104 Cotton Wood Dr
Columbia, MO 65202-4906
Phone (573) 268-2769

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250109000701 MO Practitioner - Clinical Social Worker 9638607369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Missouri, Columbia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JCMG Mental Health Clinic LLCGroup PAC ID 7810900297, 2 clinicians

Practice addresses (Care Compare)

1241 W Stadium Blvd
Professional Therapy Center
Jefferson City, MO 65109-6023
Phone (573) 634-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JCMG Mental Health Clinic LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients
JCMG Mental Health, L.L.C. Single Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

1303 Edgewood Dr
Jefferson Cty, MO 65109
Phone (573) 634-5400

2221 Bagnell Dam Blvd
#121
Lake Ozark, MO 65049
Phone (573) 365-6800

Interoperability endpoints

  • Direct secure messaging: stephanie.lorance@jcmg.eclinicaldirectplus.com

Organizations & group practices 2

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1801121652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 COTTON WOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024906",
            "telephone_number": "573-268-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 S BEARFIELD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019557",
            "telephone_number": "573-874-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORANCE",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.