Rebecca Kerr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254323 Issued in KY

Practice address

109 Stoney CT
Bowling Green, KY 42101-9148

Phone

(270) 238-0235

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightview, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1659769446

  KY

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, KY

  Medicare reassignment NPD
• Nurtured Counseling

  • Social Worker
  • Bowling Green, KY
  • NPI 1053162040
  NPD Authorized official
• Brightview LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Asheboro, NC
  • NPI 1962163782
  NPD
• Brightview LLC

  • Methadone Clinic
  • Nicholasville, KY
  • NPI 1609462472
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1114376407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STONEY CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019148",
            "telephone_number": "270-200-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STONEY CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019148",
            "telephone_number": "270-238-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405071644",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Freedom Park Dr",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175130",
            "country_code": "US",
            "telephone_number": "859-331-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154A Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "502-868-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 N Laurel Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407419075",
            "country_code": "US",
            "telephone_number": "606-712-0043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9702 Stonestreet Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402726812",
            "country_code": "US",
            "telephone_number": "502-749-6249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Legion Dr Ste 28",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042716",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254323",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100622900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Trauma Therapists, LLC
• William Boyd Kernodle
• Allison J Kerr, O.D.
• Amber Kerr
• Kevin J Kerr, PHARM D.
• Sam Reddy Kesri, M.D.
• Alexis Key, RN
• Isaiah Key, DC
• Sonnarinh Khamvongsa, APRN
• Umar Khan, M.D.

• All providers in Bowling Green, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.