Individual provider Active NPI

Laura A Click, LCSW

  • Clinical Social Worker
  • Berea, KY
National Provider Identifier
1194003749
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3806 Issued in KY
Practice address
104 Legacy Dr
Berea, KY 40403-9594
Phone
(859) 986-2323
NPI assigned
Aug 1, 2011
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6035
Clinical Social Worker 1041C0700X 3806 KY Primary

Addresses

Primary practice location

104 Legacy Dr
Berea, KY 40403-9594

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700

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
I20170303001649 KY Practitioner - Clinical Social Worker 0446534788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3806KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Jan 30, 2017 Accepting new patients
Health Help Incorporated CurrentSince Jan 30, 2017 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients

Locations

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1194003749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-986-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLICK",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "6035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.