Individual provider Active NPI

Katherine L. Pennington, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1043699416
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5138 Issued in KY
Practice address
3147 Custer Dr
Lexington, KY 40517-4020
Phone
(859) 314-8786
NPI assigned
May 19, 2015
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7940 TN
Clinical Social Worker 1041C0700X 5805C AL
Clinical Social Worker 1041C0700X 5138 KY Primary

Addresses

Primary practice location

3147 Custer Dr
Lexington, KY 40517-4020

Mailing address

3147 Custer Dr
Lexington, KY 40517-4020
Phone (859) 314-8786

Other names 1

  • Katherine Middleton Former name

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
I20190109002177 KY Practitioner - Clinical Social Worker 0547506776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

168 E Reynolds Rd
Suite 210
Lexington, KY 40517-1365
Phone (859) 314-8786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5805CALMDClinical Social Worker
5138KYMDChiropractor
7940TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lionheart Community Support Services Clinical CurrentSince Aug 17, 2025 Accepting new patients
Lionheart Behavioral Health Group, LLC Clinical Current Accepting new patients
Lionheart Trauma Support Services, LLC Clinical CurrentSince Jan 1, 2019 Accepting new patients

Locations

168 E Reynolds Rd
Ste 210
Lexington, KY 40517
Phone (859) 305-1430

3147 Custer Dr
Lexington, KY 40517
Phone (859) 314-8786

298 Clear Sky Ct
Ste F
Clarksville, TN 37043
Phone (859) 447-0855

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1043699416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 CUSTER DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174020",
            "telephone_number": "859-314-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 CUSTER DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174020",
            "telephone_number": "859-314-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KATHERINE",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7940",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5805C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MIDDLETON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.