Southern Kentucky Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTHERN KENTUCKY THERAPY LLC

Practice address

116 N Main St Ste D
Somerset, KY 42501-1448

Phone

(606) 392-3958

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

Melissa L McIntosh, LCSWNPI 1821543786

Title

Member

Phone

(606) 392-3958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lynne McIntosh, LCSW

  • Clinical Social Worker
  • Somerset, KY
  • NPI 1821543786
  Medicare reassignment NPD Authorized official
• Carol Price, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
  • NPI 1538561618
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1003776931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST STE D",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST STE D",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011448",
            "telephone_number": "606-392-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KENTUCKY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-392-3958",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Souders, TCADC
• Southeast Kentucky Clinic
• Southeastern Medical Supply LLC
• Southern Hearing Aid, Inc.
• Southern Kentucky Eye Center PSC
• Southern Kentucky Vascular ASC PLLC
• Southern Kentucky Vascular Clinic PLLC
• Southern Kentucky Vascular Procedure Center, PLLC
• Southern Travel Surgery PLLC
• Irvin Southwood, CPSS

• Clinical Social Worker in Somerset, KY
• Providers in Somerset, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.