Individual provider Active NPI

Laura Slaughter, LCSW, CADC

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1003961806
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3031 Issued in KY
Practice address
2365 Harrodsburg Rd Ste B225
Lexington, KY 40504
Phone
(859) 229-5839
Fax
(859) 276-0707
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1021 KY
Clinical Social Worker 1041C0700X 3031 KY Primary

Addresses

Primary practice location

2365 Harrodsburg Rd Ste B225
Lexington, KY 40504

Mailing address

2365 Harrodsburg Rd Ste B225
Lexington, KY 40504-3377
Phone (859) 229-5839

Other practice location 1

1910 Garden Springs Dr
Ste. 160
Lexington, KY 40504-3665
Phone (859) 229-5839

Other practice location 2

1910 Garden Springs Dr
Ste. 160
Lexington, KY 40504-3665
Phone (859) 229-5839

Other identifiers 1

IdentifierTypeStateIssuer
30615058MedicaidKY

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
I20120220001086 KY Practitioner - Clinical Social Worker 4981862133 Practice locations: Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2365 Harrodsburg Rd
Suite 225
Lexington, KY 40504-3335
Phone (859) 229-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3031KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jaye L. Neal Counseling and Therapy Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1003961806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD STE B225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043377",
            "telephone_number": "859-229-5839",
            "fax_number": "859-276-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD STE B225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-229-5839",
            "fax_number": "859-276-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Garden Springs Dr",
            "address_2": "Ste. 160",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043665",
            "country_code": "US",
            "telephone_number": "859-229-5839",
            "fax_number": "859-276-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Garden Springs Dr",
            "address_2": "Ste. 160",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043665",
            "country_code": "US",
            "telephone_number": "859-229-5839",
            "fax_number": "859-276-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1021",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.