Active NPI
Stephanie Brinkerhoff, LCSW
- Social Worker
- Madisonville, KY
National Provider Identifier
1235776899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 254579
- Practice address
- 9 E Arch St
Madisonville, KY 42431-2063 - Phone
- (513) 834-7063
- NPI assigned
- Dec 3, 2019
- Last updated
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 254579 | KY | Primary |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
9 E Arch St
Madisonville, KY 42431-2063
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other practice location 2
2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone (502) 749-6249
Other practice location 3
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-7272
Other practice location 4
599 Freedom Park Dr
Crestview Hills, KY 41017-5130
Phone (859) 331-3111
Other practice location 5
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone (502) 749-6249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235776899 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1235776899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "513-834-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E ARCH ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312063",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "104 S Front Ave",
"address_purpose": "LOCATION",
"city": "Prestonsburg",
"state": "KY",
"postal_code": "416531614",
"country_code": "US",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2645 N Laurel Rd Ste B",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407419075",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1154A Lexington Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249330",
"country_code": "US",
"telephone_number": "502-868-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "599 Freedom Park Dr",
"address_purpose": "LOCATION",
"city": "Crestview Hills",
"state": "KY",
"postal_code": "410175130",
"country_code": "US",
"telephone_number": "859-331-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9702 Stonestreet Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402726812",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINKERHOFF",
"first_name": "STEPHANIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "254579",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235776899",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.