Individual provider Active NPI

Brianna Paige Spalding

  • Clinical Social Worker
  • Springfield, KY
National Provider Identifier
1992388516
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258468 Issued in KY
Practice address
814 Lincoln Park Rd
Springfield, KY 40069-1572
Phone
(502) 489-4798
NPI assigned
May 2, 2021
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 258468 KY Primary

Addresses

Primary practice location

814 Lincoln Park Rd
Springfield, KY 40069-1572

Mailing address

814 Lincoln Park Rd
Springfield, KY 40069-1572
Phone (502) 489-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231101001586 KY Practitioner - Clinical Social Worker 5597111278 Reassigns benefits to 2 organizations
I20240604002817 IN Practitioner - Clinical Social Worker 5597111278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Sunflower Counseling LLC Clinical CurrentSince May 1, 2024 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Oct 23, 2023 Accepting new patients

Locations

3310 E 10th St
#305
Jeffersonville, IN 47130

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

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, 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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1992388516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 LINCOLN PARK RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691572",
            "telephone_number": "502-489-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LINCOLN PARK RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691572",
            "telephone_number": "502-489-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "BRIANNA",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "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": "258468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, KY

Sources for this page

Verify at the official NPI Registry.