NPIMap

Organization Active NPI

Driftless Area Behavioral Services, LLC

  • Clinical Social Worker
  • Platteville, WI
National Provider Identifier
1982374344
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DRIFTLESS AREA BEHAVIORAL SERVICES, LLC
Practice address
1250 E Business Highway 151 Ste D
Platteville, WI 53818-3875
Phone
(608) 470-2200
NPI assigned
Sep 16, 2021
Reactivated
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Stacey Richard-Baal, MSW, LCSWNPI 1720443377
Title
Member
Phone
(563) 581-2064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1250 E Business Highway 151 Ste D
Platteville, WI 53818-3875

Mailing address

PO Box 632
Platteville, WI 53818-0632
Phone (608) 470-2200

Other identifiers 5

IdentifierTypeStateIssuer
10172-33OtherWISTATE LICENSURE
7672-123OtherWISTATE LICENSURE
132167-121OtherWISTATE LICENSURE
8731-123OtherWISTATE LICENSURE
9664-120OtherWISTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211117000598 WI Part B Supplier - Clinic/Group Practice 6002205895 Receives reassigned benefits from 9 practitioners
Practice locations: Platteville, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1982374344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538180632",
            "telephone_number": "608-470-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151 STE D",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-470-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS AREA BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-01-05",
        "certification_date": "2021-09-16",
        "deactivation_date": "2025-12-26",
        "reactivation_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "RICHARD-BAAL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "563-581-2064",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "10172-33",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "7672-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "132167-121",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "8731-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "9664-120",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.