Organization
DRIFTLESS AREA BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY RICHARD-BAAL MSW, LCSW (MEMBER)
(563) 581-2064
Entity
Organization
Contact information
Practice address
1250 E BUSINESS HIGHWAY 151 STE D, PLATTEVILLE, WI 53818-3875
(608) 470-2200
Mailing address
PO BOX 632, PLATTEVILLE, WI 53818-0632
(608) 470-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10172-33
STATE LICENSURE
WI
01
—
132167-121
STATE LICENSURE
WI
01
—
7672-123
STATE LICENSURE
WI
01
—
8731-123
STATE LICENSURE
WI
01
—
9664-120
STATE LICENSURE
WI
Enumeration date
09/16/2021
Last updated
01/05/2026
Update your record
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