Individual provider Active NPI

Donna A Woodward, LCSW

  • Clinical Social Worker
  • Central City, KY
National Provider Identifier
1215010491
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255297 Issued in KY
Practice address
222 Phillip Stone Way
Central City, KY 42330-1929
Phone
(270) 754-3494
Fax
(270) 754-3499
NPI assigned
Oct 23, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 255297 KY Primary

Addresses

Primary practice location

222 Phillip Stone Way
Central City, KY 42330-1929

Mailing address

PO Box 614
Hopkinsville, KY 42241-0614
Phone (270) 886-2205

Other practice location 1

224 Phillip Stone Way
Central City, KY 42330
Phone (270) 757-2202

Other practice location 2

114 Franklin St
Henderson, KY 42420-3342
Phone (866) 934-4611

Other identifiers 1

IdentifierTypeStateIssuer
30602015MedicaidKY

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
I20201103001847 KY Practitioner - Clinical Social Worker 0244640266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A New Start Primary Care LLCGroup PAC ID 8123362779, 10 clinicians

Practice addresses (Care Compare)

224 Phillip Stone Way
Central City, KY 42330-1929
Phone (270) 757-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Community Health LLC Clinical CurrentSince Jan 9, 2025 Accepting new patients
A New Start II, LLC CurrentSince Nov 1, 2020 Accepting new patients
Vip Community Health LLC CurrentSince Jan 9, 2025 Accepting new patients
A New Start Primary Care LLC CurrentSince Sep 4, 2020 Accepting new patients

Locations

224 Phillip Stone Way
Central City, KY 42330
Phone (270) 757-2202

222 Phillip Stone Way
Central City, KY 42330
Phone (270) 754-3494

114 Franklin St
Henderson, KY 42420
Phone (270) 683-4376

503 Humston Dr
Lawrenceburg, KY 40342
Phone (502) 353-0102

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1215010491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-754-3494",
            "fax_number": "270-754-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Phillip Stone Way",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "KY",
            "postal_code": "42330",
            "country_code": "US",
            "telephone_number": "270-757-2202",
            "fax_number": "270-757-2378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203342",
            "country_code": "US",
            "telephone_number": "866-934-4611",
            "fax_number": "270-754-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "DONNA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30602015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

Verify at the official NPI Registry.