Individual provider Active NPI

Emily Stein, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1871155507
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256074 Issued in KY
Practice address
114 Dennis Dr # 9
Lexington, KY 40503-2917
Phone
(850) 203-4212
Fax
(859) 201-1151
NPI assigned
Jul 2, 2019
Reactivated
Dec 9, 2021
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 256074 KY Primary

Addresses

Primary practice location

114 Dennis Dr # 9
Lexington, KY 40503-2917

Mailing address

12340 Jones Rd Ste 290
Houston, TX 77070-3129
Phone (832) 756-2749

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@spencertherapies.com Other Spencer & Associates Therapeutic Alliance, PLLC

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
I20240920002324 KY Practitioner - Clinical Social Worker 6901347665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer and Associates Therapeutic Alliance, PLLC Clinical CurrentSince Sep 15, 2024 Accepting new patients
Spencer & Associates Therapeutic Alliance, PLLC Social Worker CurrentSince Sep 12, 2024 Accepting new patients

Locations

114 Dennis Dr
#9
Lexington, KY 40503
Phone (859) 203-4212

12340 Jones Rd
Ste 290
Houston, TX 77070
Phone (281) 894-7222

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1871155507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "832-756-2749",
            "fax_number": "859-201-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DENNIS DR # 9",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032917",
            "telephone_number": "850-203-4212",
            "fax_number": "859-201-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "deactivation_date": "2021-11-08",
        "reactivation_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@spencertherapies.com",
            "affiliation": "Y",
            "affiliationName": "Spencer & Associates Therapeutic Alliance, PLLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "admin@spencertherapies.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12340 Jones Rd Ste 290",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770703129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.