Individual provider Active NPI

Lauren Barks, LCSW

  • Clinical Social Worker
  • Paducah, KY
National Provider Identifier
1033820774
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255577 Issued in KY
Practice address
413 Broadway St Ste a
Paducah, KY 42001-0738
Phone
(618) 727-1913
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 255577 KY Primary

Addresses

Primary practice location

413 Broadway St Ste a
Paducah, KY 42001-0738

Mailing address

413 Broadway St Ste a
Paducah, KY 42001-0738
Phone (618) 727-1913

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
I20230215002357 KY Practitioner - Clinical Social Worker 4385016500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Psychological Services LLCGroup PAC ID 0749651180, 4 clinicians

Practice addresses (Care Compare)

413 Broadway St
Suite a
Paducah, KY 42001-0738
Phone (618) 727-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Services LLC CurrentSince Jan 1, 2023 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Feb 16, 2023 Accepting new patients

Locations

134 Heartland Dr
Elizabethtown, KY 42701
Phone (270) 769-3100

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

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.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1033820774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BROADWAY ST STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010738",
            "telephone_number": "618-727-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROADWAY ST STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010738",
            "telephone_number": "618-727-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKS",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.