Mary Lynne Healey, LCSW, MAC, CAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1930 Issued in KY

Practice address

200 Brule St BLDG 871
Fort Knox, KY 40121-6100

Phone

(502) 626-9892

Fax

(502) 626-6140

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1124110242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRULE ST BLDG 871",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401216100",
            "telephone_number": "502-626-9892",
            "fax_number": "502-626-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRULE ST BLDG 871",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401216100",
            "telephone_number": "502-626-9892",
            "fax_number": "502-626-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "MARY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MAC, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirby Allen Harper, P.A.C.
• Renee Therese Hart, DNP, FNP-BC
• Amanda Hartlage, PHARMD
• Stacey J Haynes, LCSW
• Stephanie Katherine Head, LMFT, LCSW
• Matthew Halim Helmy Sr., DMD
• Kayla Henderson, APRN
• Tessa Hendrix
• Danielle Herendeen, LCSW
• Rebecca Herzog

• Clinical Social Worker in Fort Knox, KY
• Providers in Fort Knox, 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 Dec 11, 2023; 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.