Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacy Ann Kretzer, MSW

Individual provider Clinical Social Worker · NPI 1518151117

MS. Stacy Ann Kretzer, MSW is a Clinical Social Worker in Jefferson City, Missouri. Qualified in 2001, 25 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1432 SW Blvd
Jefferson City, MO 65109-2444
Phone: (573) 632-5560
Fax: (573) 632-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2007017187 (MO)

Record details

NPI number1518151117
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESMarch 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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