Individual provider Active NPI

Zachary D Rawlings, MSW, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1023550480
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252064 Issued in KY
Practice address
1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone
(859) 259-2635
Fax
(859) 254-7874
NPI assigned
Nov 15, 2016
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 252064 KY Primary

Addresses

Primary practice location

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Mailing address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone (859) 259-2635

Other practice location 1

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (859) 254-1035

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
I20191206001089 KY Practitioner - Clinical Social Worker 6406289370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Vaught Rd
Winchester, KY 40391-2479
Phone (859) 825-6869

1306 Versailles Rd
Suite 120
Lexington, KY 40504-1795
Phone (859) 825-6869

224 N Martin Luther King Blvd
Suite 200
Lexington, KY 40507-2133
Phone (859) 825-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252064KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Apr 1, 2020 Accepting new patients
KVC Behavioral Healthcare Kentucky Inc Clinical PastSince May 15, 2021 Accepting new patients

Locations

1306 Versailles Rd
Ste 120
Lexington, KY 40504
Phone (859) 259-2635

151 N Eagle Creek Dr
Ste 220
Lexington, KY 40509
Phone (859) 259-2635

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECHCD/Endpoint/FECHCD

Organizations & group practices 3

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1023550480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Thunderstick Dr Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405059009",
            "country_code": "US",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.