Jonetta Bracken, LCSW CSAC
NPI 1184144123ActiveIndividual· Social Worker, Clinical· Springfield, MO
Social Worker, Clinical (LCSW CSAC) in Springfield, Missouri, licensed in WI, MI and MO, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1184144123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW CSAC |
| Sole proprietor | No |
| NPI issued | Jun 21, 2017 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 8676-123 | WI |
| Social Worker, Clinical | 1041C0700X | 6801120163 | MI |
| Social Worker, Clinical | 1041C0700X | 2024047972 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
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