Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Stanley Robert Bryant III, LCSW, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760913404

Mr. Stanley Robert Bryant III, LCSW, LCADC is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Lifespring, Inc, a 67-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
5
Licensed in
IN, KY
In the registry since
2017
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

234 Amy Ave
Louisville, KY 40212-2522
Phone: (502) 778-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 S Preston St, Louisville, KY 40202-1716 — (502) 583-3951
  • 8521 La Grange Rd, Louisville, KY 40242-3800 — (502) 426-6380

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 259185 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 272984 (KY)
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 34011370A (IN)

Record details

NPI number1760913404
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCADC
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifespring, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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