Active NPI
Alyssa Dickens
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1033699517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 256936
- Practice address
- 1092 Duval St Ste 230
Lexington, KY 40515-8908 - Phone
- (859) 523-7383
- NPI assigned
- Aug 15, 2018
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 253474 | KY | |
| Clinical Social Worker | 1041C0700X | 256936 | KY | Primary |
Addresses
Primary practice location
1092 Duval St Ste 230
Lexington, KY 40515-8908
Mailing address
110 Walden Way
Nicholasville, KY 40356-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256936 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepherd's House Inc. | Current | Accepting new patients | |
| Lexington Counseling and Psychiatry, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Lexington, KY
- NPI 1861891541
-
- Mental Health Counselor
- Lexington, KY
- NPI 1881789634
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1033699517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WALDEN WAY",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 DUVAL ST STE 230",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405158908",
"telephone_number": "859-523-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "253474",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "256936",
"primary": true
}
],
"identifiers": [],
"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 Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.