Stephanie Godersky

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

258151 Issued in KY

Practice address

71 Cavalier Blvd Ste 303
Florence, KY 41042-5172

Phone

(859) 282-0204

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Hotz Former name

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mended Counseling and Trauma Services LLCGroup PAC ID 8325423742, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mended Counseling & Trauma Services LLC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1932863073
  Medicare reassignment Care Compare group NPD
• Inspiring Hope Counseling Services LLC

  • Mental Health Counselor
  • Erlanger, KY
  • NPI 1063975100
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1457032526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 OVERLAND RDG APT 130",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947246",
            "telephone_number": "630-605-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 303",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425172",
            "telephone_number": "859-282-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODERSKY",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HOTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Kaye Gillum, BA
• Chase R Gima, DC
• Patrick J Ginney, DPM
• Diane Carol Glenn, APRN, FNP-C, SANE
• Gloxel Mental and Behavioral Health LLC
• Douglas Goderwis, MD
• Kelsey Goderwis, PHARMD
• Joanna Goldie
• Philip Mark Goldman, M.D.
• Stephen Louis Goldstein, P.T.

• Clinical Social Worker in Florence, KY
• Providers in Florence, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.

Verify at the official NPI Registry.