Stephanie Goodpaster, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Morehead, KY
NPI 1386072031 · NPPES record last updated Feb 7, 2018
Key facts
- NPI
- 1386072031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 252777 (KY)
- Practice address
- 445 Clinic Dr
Morehead, KY 40351-1077 - Phone
- (606) 783-6805
- Fax
- (606) 783-6869
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Kentucky College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sterling Health Solutions Inc
Practice addresses (Care Compare)
633 Maysville Rd
Mount Sterling, KY 40353-9767
Phone (859) 404-7686
635 N Maysville St
Suite a
Mount Sterling, KY 40353-9767
Phone (859) 498-2323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180222000419 | KY | Practitioner - Clinical Social Worker | 4880955475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041C0700X | KY | MD | Clinical Social Worker |
| 252777 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Health Solutions, Inc | Current |
Accepting new patients | |
| Sterling Health Solutions Inc | Current |
Accepting new patients |
Locations
1355 Concrete Rd
Carlisle, KY 40311
Phone (859) 405-4024
133 School Dr
Carlisle, KY 40311
Phone (859) 289-3785
209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686
44 Water St
Owingsville, KY 40360
Phone (606) 674-9776
Interoperability endpoints
- stephanie.goodpaster.1@25737.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1041C0700X | KY | |
| Clinical Social Worker | 1041C0700X | 252777 | KY | Yes |
Addresses
Primary practice location
445 Clinic Dr
Morehead, KY 40351-1077
Mailing address
445 Clinic Dr
Morehead, KY 40351-1077
Phone (606) 783-6805
NPI Registry JSON
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1386072031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CLINIC DR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511077",
"telephone_number": "606-783-6805",
"fax_number": "606-783-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 CLINIC DR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511077",
"telephone_number": "606-783-6805",
"fax_number": "606-783-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODPASTER",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "1041C0700X",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morehead, KY
- Ginter Chiropractic
- Christopher Thomas Ginter
- Sabrina Lynn Gipson
- Jennifer Goble
- Emily Goodman
- John Gorrell
- Michelle Gray
- Austin James Greanais
- Erica Green
- Matthew Green
All providers in Morehead, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.