Georgena Ann Brackett, LCSW
Individual provider Active NPI Clinical Social Worker · Scottsville, KY
NPI 1457087488 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1457087488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1490 (KY)
- Practice address
- 207 Anna LN
Scottsville, KY 42164-9561 - Phone
- (270) 535-6878
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network PA | Current |
Accepting new patients | |
| Barrett Simpson, O.D. LLC | Past | Accepting new patients |
Locations
2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1490 | KY | Yes |
Addresses
Primary practice location
207 Anna LN
Scottsville, KY 42164-9561
Mailing address
207 Anna LN
Scottsville, KY 42164-9561
Phone (270) 535-6878
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | KHIE | Direct |
Other providers in Scottsville, KY
- Bowling Green Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Adriana Bradshaw
- Breiwa, Ware & Jeskie PSC
- Derek Lewis Brockman
- Lindsay Brown
- Lynne Brown
All providers in Scottsville, 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 Aug 1, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.