Individual provider Active NPI

Stephen J Hall, LCSW

  • Clinical Social Worker
  • Brandenburg, KY
National Provider Identifier
1144488776
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3093 Issued in KY
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

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30605018MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Communicare Inc Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 14, 2024 Accepting new patients
Lifespring, Inc CurrentSince May 12, 2025 Accepting new patients
Lifespring, Inc Current Accepting new patients
Communicare Inc CurrentSince Dec 1, 2024 Accepting new patients
Lifespring, Inc CurrentSince May 12, 2025 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.

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

Verify at the official NPI Registry.