Individual provider Active NPI

Camille Brooke Saunders, LCSW

  • Clinical Social Worker
  • Annville, KY
National Provider Identifier
1255686689
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258505 Issued in KY
Practice address
96 Highway 3444
Annville, KY 40402-8245
Phone
(502) 262-2887
NPI assigned
Jul 23, 2012
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 258505 KY Primary

Addresses

Primary practice location

96 Highway 3444
Annville, KY 40402-8245

Mailing address

225 Bledsoe Rd
Manchester, KY 40962-8906
Phone (606) 594-2989

Other names 1

  • Camille B Hooker Former name

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
I20231201002562 KY Practitioner - Clinical Social Worker 4688022502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jobs for Kentucky's Graduates, Inc Clinical CurrentSince Nov 17, 2024 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Nov 27, 2023 Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Aug 26, 2002 Accepting new patients

Locations

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2365 Harrodsburg Rd
Ste B330
Lexington, KY 40504
Phone (859) 407-3479

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1255686689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BLEDSOE RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409628906",
            "telephone_number": "606-594-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HIGHWAY 3444",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404028245",
            "telephone_number": "502-262-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "CAMILLE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "HOOKER",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annville, KY

Sources for this page

Verify at the official NPI Registry.