Cheryl Mefford, LCSW

Individual provider Active NPI Clinical Social Worker · Hazard, KY

NPI 1225378128 · NPPES record last updated Mar 29, 2018

Key facts

NPI
1225378128
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5154 (KY)
Practice address
115 Rockwood LN
Hazard, KY 41701-9415
Phone
(606) 436-5761
Fax
(606) 436-5797
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky River Community Care Inc (31 clinicians)

Practice addresses (Care Compare)

115 Rockwood LN
Hazard, KY 41701-9415
Phone 60643657617216

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161027000496 KY Practitioner - Clinical Social Worker 4385922244 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5154KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky River Community Care, Inc Clinical Current
since Sep 7, 2016
Accepting new patients

Locations

115 Rockwood Ln
Hazard, KY 41701
Phone (800) 575-7223

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5154 KY Yes

Addresses

Primary practice location

115 Rockwood LN
Hazard, KY 41701-9415

Mailing address

115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761

Other identifiers

IdentifierTypeStateIssuer
7100407270MedicaidKY

Other providers in Hazard, KY

All providers in Hazard, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.