Kassidy Michaela Creech, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255718 Issued in KY

Practice address

85 Highway 80
Manchester, KY 40962-8801

Phone

(606) 596-0410

Fax

(606) 528-8272

NPI assigned

Feb 4, 2019

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Community Health Center, Inc.Group PAC ID 3870654064, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1568625648
  Medicare reassignment Care Compare group NPD
• Blooming Oak Therapy, LLC

  • Clinical Social Worker
  • McKee, KY
  • NPI 1255289559
  NPD Authorized official
• Grace Community Health Center Inc

  dba Falls Hwy Clinic

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1508308560
  NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1043775117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012793",
            "telephone_number": "314-872-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HIGHWAY 80",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409628801",
            "telephone_number": "606-596-0410",
            "fax_number": "606-528-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Cumberland Falls Hwy Ste D141",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012796",
            "country_code": "US",
            "telephone_number": "606-528-5527",
            "fax_number": "606-526-9687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21154 Highway 421",
            "address_purpose": "LOCATION",
            "city": "Hyden",
            "state": "KY",
            "postal_code": "417498553",
            "country_code": "US",
            "telephone_number": "606-672-1208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREECH",
        "first_name": "KASSIDY",
        "middle_name": "MICHAELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita F Cornett, MD
• Corum Family Pharmacy LLC (Corum Family Pharmacy)
• Chad Corum, PHARM D
• April Michelle Couch, APRN
• Nadine Couch
• Cumberland Outpatient Rehab, LLC (All Star Physical Therapy)
• Cumberland Valley Dist Health Dept
• Cumberland Valley District Health Department
• Cumberland Valley District Health Department (Cumberland Valley District Home Health)
• Paige Taylor Daly, PT

• Clinical Social Worker in Manchester, KY
• Providers in Manchester, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.