Active NPI
Brian Stoops, LCSW
- Clinical Social Worker
- Carlinville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016747
- Practice address
- 20613 N Broad St Ste B
Carlinville, IL 62626 - Phone
- (217) 854-3881
- NPI assigned
- Sep 15, 2014
- Last updated
- Mar 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016747 | IL | Primary |
Addresses
Primary practice location
20613 N Broad St Ste B
Carlinville, IL 62626
Mailing address
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141
Other practice location 1
5230 S 6th Street Rd
Springfield, IL 62703-5128
Phone (217) 585-1180
Other practice location 2
205 S 3rd St
Girard, IL 62640
Phone (217) 627-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149016747 | Other | IL | LICENSE CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carlinville Area Hospital Association
Practice addresses (Care Compare)
20613 N Broad St
Suite B
Carlinville, IL 62626-3721
Phone (217) 854-3881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016747 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients |
Locations
205 Oakland Ave
Carlinville, IL 62626
Phone (217) 839-7820
20613 N Broad St
Ste B
Carlinville, IL 62626
Phone (217) 854-3881
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
807 Broadway St
Gillespie, IL 62033
Phone (217) 839-3900
205 S 3rd St
Girard, IL 62640
Phone (217) 627-2141
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
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.
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1932275641
-
dba Virden Family Health Care
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1306247861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20733 N BROAD ST",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626263710",
"telephone_number": "217-854-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20613 N BROAD ST STE B",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "62626",
"telephone_number": "217-854-3881"
}
],
"practiceLocations": [
{
"address_1": "5230 S 6th Street Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627035128",
"country_code": "US",
"telephone_number": "217-585-1180",
"fax_number": "217-585-4747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S 3rd St",
"address_purpose": "LOCATION",
"city": "Girard",
"state": "IL",
"postal_code": "62640",
"country_code": "US",
"telephone_number": "217-627-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOOPS",
"first_name": "BRIAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE CLINICAL SOCIAL WORKER",
"identifier": "149016747",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlinville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.