Organization Active NPI

Birchwood Healing Place

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1033684477
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BIRCHWOOD HEALING PLACE
Practice address
1050 Chinoe Rd Ste 112
Lexington, KY 40502-6571
Phone
(859) 312-6569
Fax
(855) 594-5062
NPI assigned
Oct 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Loretta Lynn Gilmore, MSW, LCSWNPI 1841663036
Title
Licensed Clinical Social Work / Own
Phone
(859) 312-6569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1050 Chinoe Rd Ste 112
Lexington, KY 40502-6571

Mailing address

1050 Chinoe Rd Ste 112
Lexington, KY 40502-6571
Phone (859) 312-6569

Other practice location 1

3101 Clays Mill Rd Ste 204
Lexington, KY 40503-2781
Phone (859) 312-6569

Other identifiers 2

IdentifierTypeStateIssuer
7100422750MedicaidKY
7100958780MedicaidKY

National Provider Directory

National Provider Directory

Locations

1050 Chinoe Rd
Ste 112
Lexington, KY 40502
Phone (859) 312-6569

3101 Clays Mill Rd
Ste 204
Lexington, KY 40503
Phone (859) 312-6569

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1033684477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-312-6569",
            "fax_number": "855-594-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-312-6569",
            "fax_number": "855-594-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Clays Mill Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032781",
            "country_code": "US",
            "telephone_number": "859-312-6569",
            "fax_number": "855-594-5062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIRCHWOOD HEALING PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORK / OWN",
        "authorized_official_telephone_number": "859-312-6569",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100422750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100958780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.