Active NPI
Stephen J Hall, LCSW
- Clinical Social Worker
- Brandenburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3093
- Practice address
- 2075 Bypass Rd Ste 104
Brandenburg, KY 40108-1636 - Phone
- (270) 422-3971
- Fax
- (270) 422-4882
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3093 | KY | Primary |
Addresses
Primary practice location
2075 Bypass Rd Ste 104
Brandenburg, KY 40108-1636
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30605018 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080716000255 | KY | Practitioner - Clinical Social Worker | 5193898765 | Reassigns benefits to 2 organizations |
| I20240624003465 | IN | Practitioner - Clinical Social Worker | 5193898765 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicare Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Lifespring, Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Communicare Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Communicare Inc | Past | Accepting new patients | |
| Communicare Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
404 Spring St
Jeffersonville, IN 47130
Phone (812) 206-1303
1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281
460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583
331 S 3rd St
Bardstown, KY 40004
Phone (502) 348-9206
2025 Bypass Rd
Ste 205
Brandenburg, KY 40108
Phone (270) 422-3971
320 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-3377
100 Gray St
Elizabethtown, KY 42701
Phone (270) 360-0419
107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650
1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419
207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256
519 Workshop Ln
Lebanon, KY 40033
Phone (270) 259-4652
805 Commerce Dr
Leitchfield, KY 42754
Phone (270) 259-4652
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
1072 S Dixie Blvd
Radcliff, KY 40160
Phone (270) 351-8166
324 E Main St
Springfield, KY 40069
Phone (859) 336-7746
Organizations & group practices 8
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.
-
- Community/Behavioral Health Agency
- Hodgenville, KY
- NPI 1821419789
-
- Community/Behavioral Health Agency
- Dale, IN
- NPI 1639029283
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1861957706
-
- Community/Behavioral Health Agency
- Springfield, KY
- NPI 1083751424
-
- Community/Behavioral Health Agency
- Elizabethtown, KY
- NPI 1891832234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1144488776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRANES ROOST CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013650",
"telephone_number": "270-765-2605",
"fax_number": "270-234-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 BYPASS RD STE 104",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081636",
"telephone_number": "270-422-3971",
"fax_number": "270-422-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30605018",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.