Individual provider Active NPI

McKenzie Danielle Linton, LCSW

  • Clinical Social Worker
  • Bardstown, KY
National Provider Identifier
1003246422
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3774 Issued in KY
Practice address
970 Bloomfield Rd
Bardstown, KY 40004-9708
Phone
(502) 509-6717
NPI assigned
Nov 21, 2013
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3774 KY Primary

Addresses

Primary practice location

970 Bloomfield Rd
Bardstown, KY 40004-9708

Mailing address

353 Western Dr
Radcliff, KY 40160-2087
Phone (614) 620-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131223000906 KY Practitioner - Clinical Social Worker 2163659079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3774KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cassady D Cobb LCSW LLC Clinical PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 2

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": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1003246422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 WESTERN DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602087",
            "telephone_number": "614-620-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049708",
            "telephone_number": "502-509-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "MCKENZIE",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.