Individual provider Active NPI

Kristan Diane Vanderhoof, LCSW

  • Social Worker
  • Rush, KY
National Provider Identifier
1184421802
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
260068 Issued in KY
Practice address
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone
(606) 928-6648
Fax
(606) 928-1056
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 260068 KY Primary

Addresses

Primary practice location

2901 Pigeon Roost Rd
Rush, KY 41168-8132

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250320002716 KY Practitioner - Clinical Social Worker 5597287326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260068KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey Estep Homes, Inc CurrentSince Feb 28, 2025 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince Feb 28, 2025 Accepting new patients
Ramey-Estep Homes, Inc Current Accepting new patients

Locations

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

2901 Pigeon Roost Rd
Ste B
Rush, KY 41168
Phone (606) 547-4400

2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1184421802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "KRISTAN",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "260068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rush, KY

Sources for this page

Verify at the official NPI Registry.