Haylee O. Nuckols, LCSW

Key facts

NPI

1104374149

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

252128 (KY)

Practice address

570 Spring Station Rd
Midway, KY 40347-9744

Phone

(859) 585-5276

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2025.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1104374149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SPRING STATION RD",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403479744",
            "telephone_number": "859-585-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SPRING STATION RD",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403479744",
            "telephone_number": "859-585-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLS",
        "first_name": "HAYLEE",
        "middle_name": "O.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Midway, KY · Clinical Social Worker in Kentucky