Individual provider Active NPI

Carole Stokes-Brewer, PHD, LISW, LPCC, LIC

  • Clinical Social Worker
  • Fairfield, OH
National Provider Identifier
1417003799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I3014 Issued in OH
Practice address
6580 Sosna Dr
Fairfield, OH 45014-2222
Phone
(513) 889-0084
Fax
(513) 889-0084
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I3014 OH Primary

Addresses

Primary practice location

6580 Sosna Dr
Fairfield, OH 45014-2222

Mailing address

4200 Primary Colors
West Chester, OH 45069-7931
Phone (513) 889-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050502000438 OH Practitioner - Clinical Social Worker 3173562980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Victory Pkwy
Suite 602
Cincinnati, OH 45206-2837
Phone (513) 244-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
I3014OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Wayz LLC Clinical CurrentSince Feb 10, 2025 Accepting new patients

Locations

2200 Victory Pkwy
Ste 602
Cincinnati, OH 45206
Phone (513) 244-6990

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417003799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PRIMARY COLORS",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697931",
            "telephone_number": "513-889-0084",
            "fax_number": "513-889-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 SOSNA DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142222",
            "telephone_number": "513-889-0084",
            "fax_number": "513-889-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES-BREWER",
        "first_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LISW, LPCC, LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I3014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.