Individual provider Active NPI

Stephanie Brinkerhoff, LCSW

  • Social Worker
  • Madisonville, KY
National Provider Identifier
1235776899
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
254579 Issued in KY
Practice address
9 E Arch St
Madisonville, KY 42431-2063
Phone
(513) 834-7063
NPI assigned
Dec 3, 2019
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1235776899MedicaidKY

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.

Verify at the official NPI Registry.