Lil Cutia Enterprises, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIL CUTIA ENTERPRISES, LLC

Practice address

1347 S 3Rd St Ste 204
Louisville, KY 40208-2344

Phone

(502) 640-6137

Fax

(502) 237-4092

NPI assigned

Apr 12, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Gail Hall

Title

Credentialing Agent

Phone

(502) 774-0671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cutia Bacon Brown, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1760544464
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1982458311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 S 3RD ST STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082344",
            "telephone_number": "502-640-6137",
            "fax_number": "502-237-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 S 3RD ST STE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082344",
            "telephone_number": "502-640-6137",
            "fax_number": "502-237-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL CUTIA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "502-774-0671"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Light Psychiatric Services, PSC
• Clarissa Lightsy
• Sharonda N Lightsy, CRNA
• Christina Marie Ligibel, M.ED., LPATA
• Dwayne Likens, DO
• Breawna V Lillo, CCC-SLP
• Chloe Elizabeth Lilly, DPT
• Christy L Lilly, PTA
• Lily of Hope Psychiatry Services PLLC
• Lilyheart Integrative Counseling & Wellness, PLLC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.