Stacey Renae Krause, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801078604 Issued in MI

Practice address

1645 Goffe St
Saint Clair, MI 48079-5111

Phone

(810) 289-2720

Fax

(810) 857-6606

NPI assigned

Jun 28, 2006

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MI

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of LapeerGroup PAC ID 4183533193, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Lapeer

  • Community/Behavioral Health Agency
  • Lapeer, MI
  • NPI 1275585929
  Medicare reassignment Care Compare group NPD
• Beacon of Hope Counseling LLC

  • Clinical Social Worker
  • Saint Clair, MI
  • NPI 1972857563
  Medicare reassignment Authorized official
• County of Lapeer

  dba Lapeer County Community Mental Health- CCBHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lapeer, MI
  • NPI 1518857085
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1801823208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 GOFFE ST",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795111",
            "telephone_number": "810-289-2720",
            "fax_number": "810-857-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 GOFFE ST",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795111",
            "telephone_number": "810-289-2720",
            "fax_number": "810-857-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "STACEY",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801078604",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Kilbourne
• Nancy Anne Klug
• Katherine Elizabeth Knox, MA LLPC
• Emma Rae Kosiba
• David James Kosztowny
• Gary M Laduke II, CRNA
• Dawn Marie Lambrecht, MD
• Cameron Christopher Land
• Shannon Lang
• Andrea Latoski

• Clinical Social Worker in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.