Individual provider Active NPI

Crystal Leugers, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1184008757
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4071 Issued in KY
Practice address
200 Home Rd
Covington, KY 41011-1942
Phone
(859) 261-8768
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4071 KY Primary

Addresses

Primary practice location

200 Home Rd
Covington, KY 41011-1942

Mailing address

200 Home Rd
Covington, KY 41011-1942
Phone (859) 261-8768

Other identifiers 1

IdentifierTypeStateIssuer
7100352870MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240229000662 KY Practitioner - Clinical Social Worker 5698119659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4071KYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Northern Kentucky CurrentSince Feb 22, 2024 Accepting new patients
Children'S Home of Northern Kentucky PastSince Feb 22, 2024 Accepting new patients

Locations

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1184008757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUGERS",
        "first_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100352870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.