Individual provider Active NPI

Brent Hasty

  • Clinical Social Worker
  • Mount Vernon, KY
National Provider Identifier
1669941860
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253497 Issued in KY
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone
(606) 256-7466
Fax
(606) 256-3562
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 253497 KY Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Mailing address

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone (606) 256-7466

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221031000344 KY Practitioner - Clinical Social Worker 1254708589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148

145 Newcomb Ave
Mount Vernon, KY 40456-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253497KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Current Accepting new patients

Locations

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1669941860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-7466",
            "fax_number": "606-256-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-7466",
            "fax_number": "606-256-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.