Organization Active NPI

Jobs for Kentucky'S Graduates, Inc

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1073169926
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOBS FOR KENTUCKY'S GRADUATES, INC
Practice address
2365 Harrodsburg Rd Ste B330
Lexington, KY 40504-3389
Phone
(859) 407-3479
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Authorized official

Name
Camille Brooke Robidoux, LCSW
Title
Medicaid Manager
Phone
(606) 594-2989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2365 Harrodsburg Rd Ste B330
Lexington, KY 40504-3389

Mailing address

2365 Harrodsburg Rd Ste B330
Lexington, KY 40504-3389
Phone (859) 407-3479

National Provider Directory

National Provider Directory

Locations

2365 Harrodsburg Rd
Ste B330
Lexington, KY 40504
Phone (859) 407-3479

1050 Monarch St
Ste 310
Lexington, KY 40513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731196800000",
    "number": "1073169926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD STE B330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043389",
            "telephone_number": "859-407-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD STE B330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043389",
            "telephone_number": "859-407-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOBS FOR KENTUCKY'S GRADUATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "ROBIDOUX",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "MEDICAID MANAGER",
        "authorized_official_telephone_number": "606-594-2989",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.