Individual provider Active NPI

Heather Brandenburg, LCSW

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1689245581
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259567 Issued in KY
Practice address
1001 Gibson Bay Dr Ste 201
Richmond, KY 40475-3544
Phone
(855) 591-0092
NPI assigned
Jul 2, 2021
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 259567 KY Primary

Addresses

Primary practice location

1001 Gibson Bay Dr Ste 201
Richmond, KY 40475-3544

Mailing address

351 Radio Park Dr Ste 202
Richmond, KY 40475-2668
Phone (859) 659-6627

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
I20241023004696 KY Practitioner - Clinical Social Worker 0345773768 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Therapy LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients
Kentucky Counseling Center, LLC Counselor CurrentSince Sep 23, 2024 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

1001 Gibson Bay Dr
Ste 201
Richmond, KY 40475

351 Radio Park Dr
Ste 202
Richmond, KY 40475
Phone (502) 501-7381

Organizations & group practices 2

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1689245581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 RADIO PARK DR STE 202",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752668",
            "telephone_number": "859-659-6627",
            "fax_number": "859-545-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GIBSON BAY DR STE 201",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753544",
            "telephone_number": "855-591-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.