Mr Stanley Robert Bryant Iii, LCSW, LCADC is a
Social Worker - Clinical based in Louisville, Kentucky. Mr Stanley Robert Bryant Iii is licensed to practice in Kentucky (license number 259185) and his current practice location is
234 Amy Ave, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 778-0001.
NPI number for Mr Stanley Robert Bryant Iii is 1760913404 and his current mailing address is 234 Amy Ave, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760913404.
Healthcare Provider's Profile
| Full Name | Mr Stanley Robert Bryant Iii |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 234 Amy Ave, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760913404
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 09/16/2024
Medical Identifiers
Medical identifiers for Mr Stanley Robert Bryant Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760913404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 272984 (Kentucky) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34011370A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 259185 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stanley Robert Bryant Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Stanley Robert Bryant Iii, LCSW, LCADC
234 Amy Ave,
Louisville, KY 40212-2522
Ph: (502) 778-0001 | Mr Stanley Robert Bryant Iii, LCSW, LCADC
234 Amy Ave,
Louisville, KY 40212-2522
Ph: (502) 778-0001 |
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