Geneivive Brewer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY1054 Issued in KY

Practice address

638 E College Ave Ste B
Stanton, KY 40380-2363

Phone

(606) 318-3500

Fax

(606) 606-3503

NPI assigned

Aug 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: geneivive.brewer.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big Sandy Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD (past)
• Kentucky Heart Institute Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ashland, KY
  • NPI 1235365537
  NPD (past)
• Kentucky River Community Care, Inc

  • Mental Health Counselor
  • Hazard, KY
  • NPI 1528017142

  Clinical

  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1093708554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE STE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-606-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE STE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-606-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Foxglove Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403539735",
            "country_code": "US",
            "telephone_number": "859-498-3333",
            "fax_number": "859-498-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "GENEIVIVE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100616050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Bloom, APRN
• Rebekah Boone
• Courtney Alexis Bowling, SLP
• Andrew Thomas Bray, PA-C
• Brenda Gail Brewer, R.PH.
• Deana Cheryl Brooks, PT
• Troy David Brooks, P.A.
• Heather Leigh Burchett, PT
• Mary Etta Burrows, OT
• Rosemary Stuehler Capo, OT

• All providers in Stanton, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.