Individual provider Active NPI

Jacqueline Matheny

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1033015524
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001863 Issued in KY
Practice address
200 Home Rd
Covington, KY 41011-1942
Phone
(859) 292-4190
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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 LCSW00001863 KY Primary

Addresses

Primary practice location

200 Home Rd
Covington, KY 41011-1942

Mailing address

200 Home Rd
Covington, KY 41011-1942
Phone (859) 292-4194

Other practice location 1

525 W 5th St
Covington, KY 41011-1259
Phone (859) 292-4190

Other practice location 2

4836 Idlewild Rd
Burlington, KY 41005-8742
Phone (859) 292-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1033015524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-292-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-292-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111259",
            "country_code": "US",
            "telephone_number": "859-292-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4836 Idlewild Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KY",
            "postal_code": "410058742",
            "country_code": "US",
            "telephone_number": "859-292-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.