Stephanie Brotherton, LMSW
Social Worker, Clinical in Louisburg, KS. Individual provider (NPI-1).
NPI number1972905511
StatusActive
Last updated in NPPESNov 15, 2024
Details
- NPI
- 1972905511
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Brotherton
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2014
- Certification date
- Nov 15, 2024
- Last updated
- Nov 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 05750LSCSW | KS | Yes |
| 104100000X | Social Worker | LMSW 9316 | KS |
Practice location
1537 S 5th St ELouisburg, KS 66053-4186
Phone 913-548-6322
Mailing address
Po Box 677Ottawa, KS 66067-0677
Phone 913-557-9096 · Fax 913-294-9247
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