Stacy Kraft, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STACY KRAFT, LCSW, LLC

Practice address

425 Fairview Ave Ste 1
Ponca City, OK 74601-1924

Phone

(580) 382-5770

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Stacy Kraft, LCSWNPI 1497846851

Title

Owner

Phone

(580) 382-5770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Lee Kraft, LCSW

  • Clinical Social Worker
  • Ponca City, OK
  • NPI 1497846851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1932565645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FAIRVIEW AVE STE 1",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011924",
            "telephone_number": "580-382-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FAIRVIEW AVE STE 1",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011924",
            "telephone_number": "580-382-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY KRAFT, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-382-5770",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah J Spaulding
• Jenna Specht, PA-C
• Lauren T Spiva
• St Josephs Cancer Center of Northern
• St. Mary'S Physician Associates, LLC
• Sylvia Michelle Standard
• Michael Standifer Jr., BS
• Annmarie Stanford
• Willy Steenburgh
• Adelbert Isaiah Jerel Steeprock

• Clinical Social Worker in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.