Individual provider Active NPI

Rachel Ann Klopfenstein, LCSW

  • Clinical Social Worker
  • Lebanon, KY
National Provider Identifier
1154798767
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254611 Issued in KY
Practice address
420 N Loretto Rd
Lebanon, KY 40033-1628
Phone
(270) 321-4480
NPI assigned
Aug 31, 2015
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 254611 KY Primary

Addresses

Primary practice location

420 N Loretto Rd
Lebanon, KY 40033-1628

Mailing address

1903 Hickory Camp Rd
Springfield, KY 40069-9233

Other practice location 1

65 Old Springfield Road
Lebanon, KY 40033
Phone (270) 692-2509

Other identifiers 1

IdentifierTypeStateIssuer
30605018MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254611KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC CurrentSince Feb 18, 2020 Accepting new patients
Communicare Inc Past Accepting new patients
Better Health Consultants, LLC PastSince Mar 21, 2021 Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

420 N Loretto Rd
Lebanon, KY 40033
Phone (270) 321-4480

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1154798767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 HICKORY CAMP RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400699233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331628",
            "telephone_number": "270-321-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Old Springfield Road",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "40033",
            "country_code": "US",
            "telephone_number": "270-692-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOPFENSTEIN",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.