Courtney Brooke Sergent-Fox

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254042 Issued in KY

Practice address

501 Darby Creek Rd Ste 7
Lexington, KY 40509-1605

Phone

(606) 407-2847

NPI assigned

Jun 27, 2019

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1093376212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SKYLINE DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569122",
            "telephone_number": "606-407-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD STE 7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091605",
            "telephone_number": "606-407-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGENT-FOX",
        "first_name": "COURTNEY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyeongjun Seok, MA, ATC
• Matthew Sepulveda
• Serenity Keepers
• Serenity Recovery Center of Dayton LLC
• Patrick J Serey, MD
• Emmy Lee Sergent
• Susan Marie Sergent, PA
• Carlos Serna
• Shelby Nicole Serraglio, OTR/L
• Ted Server Jr.

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, 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 Jun 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.