Organization Active NPI

Craig Congleton LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1104805365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0725 Issued in KY
Legal business name
CRAIG CONGLETON LCSW
Practice address
1105 S Limestone
Lexington, KY 40503-1057
Phone
(859) 254-8185
NPI assigned
Jan 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig Brewer Congleton, LCSW
Title
Owner
Phone
(859) 254-8185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0725 KY Primary

Addresses

Primary practice location

1105 S Limestone
Lexington, KY 40503-1057

Mailing address

125 Kentucky Ave
Lexington, KY 40502-1718
Phone (859) 254-8185

National Provider Directory

National Provider Directory

Locations

1105 S Limestone
Lexington, KY 40503
Phone (859) 254-8185

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104805365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KENTUCKY AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021718",
            "telephone_number": "859-254-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031057",
            "telephone_number": "859-254-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG CONGLETON LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONGLETON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BREWER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-254-8185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0725",
            "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 Aug 22, 2020; 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.