Stephanie Brotherton, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05750LSCSW Issued in KS

Practice address

1537 S 5TH St E
Louisburg, KS 66053-4186

Phone

(913) 548-6322

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

Yes

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.

• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293

  KS

  Medicare reassignment
• Elizabeth Layton Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, KS
  • NPI 1649296757
  NPD (past)
• Elizabeth Layton Center, Inc.

  • Community/Behavioral Health Agency
  • Ottawa, KS
  • NPI 1972209732
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2024.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1972905511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S 5TH ST E",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660534186",
            "telephone_number": "913-548-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW 9316",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05750LSCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auburn Pharmacy, Inc.
• Jennifer Bjorgaard
• Aundrea Danielle Bootsma, OTR/L
• Michelle Lorae Boyts, PTA
• Brad Hughes, D.D.S.
• Acacia D Brueggen, OTR
• Sharon Burgmeier, OTR/L
• Matthew Tyler Burrow, DC
• Renee Casey
• Emma Christy

• All providers in Louisburg, KS
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.