Individual provider Active NPI

Brian Stoops, LCSW

  • Clinical Social Worker
  • Carlinville, IL
National Provider Identifier
1306247861
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016747 Issued in IL
Practice address
20613 N Broad St Ste B
Carlinville, IL 62626
Phone
(217) 854-3881
NPI assigned
Sep 15, 2014
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 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

IdentifierTypeStateIssuer
149016747OtherILLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150212000275 IL Practitioner - Clinical Social Worker 2466777537 Reassigns benefits to 2 organizations

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 AssociationGroup PAC ID 9032021373, shared by 6 NPIs, 25 clinicians

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

LicenseStateTypeSpecialty
149016747ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association Current Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.