Individual provider Active NPI

Brittany Marie Jolly, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1053262527
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001342 Issued in KY
Practice address
3150 Custer Dr Ste 202
Lexington, KY 40517-4010
Phone
(502) 219-3488
Fax
(502) 406-5803
NPI assigned
Feb 9, 2026
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 LCSW00001342 KY Primary

Addresses

Primary practice location

3150 Custer Dr Ste 202
Lexington, KY 40517-4010

Mailing address

104 Clayber Dr
Nicholasville, KY 40356-2021
Phone (502) 822-0800

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
I20260410001407 KY Practitioner - Clinical Social Worker 6406321033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3150 Custer Dr
Suite 203
Lexington, KY 40517-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001342KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Services, LLC CurrentSince Mar 1, 2026 Accepting new patients
Kentucky Services, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1000 E Lexington Ave
Ste 25
Danville, KY 40422
Phone (859) 236-7756

3150 Custer Dr
Ste 202
Lexington, KY 40517
Phone (502) 219-3488

3150 Custer Dr
Ste 203
Lexington, KY 40517
Phone (502) 219-3488

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": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1053262527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CLAYBER DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562021",
            "telephone_number": "502-822-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "502-219-3488",
            "fax_number": "502-406-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.