Individual provider Active NPI

Kathy Lynn Lukey, LISW-S, LCSW

  • Clinical Social Worker
  • Ft Wright, KY
National Provider Identifier
1245540707
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY.1361 Issued in KY
Practice address
1717 Dixie Hwy
Ft Wright, KY 41011-2766
Phone
(859) 341-7453
NPI assigned
Oct 18, 2010
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009199 OH
Clinical Social Worker 1041C0700X KY.1361 KY Primary

Addresses

Primary practice location

1717 Dixie Hwy
Ft Wright, KY 41011-2766

Mailing address

127 Grant Park Dr
Dayton, KY 41074-1745
Phone (859) 462-0371

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
I20230421002181 KY Practitioner - Clinical Social Worker 5092170209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068

250 Grandview Dr
Suite 575
Ft Mitchell, KY 41017-5641
Phone (859) 486-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY.1361KYMDClinical Social Worker
I.0009199OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

250 Grandview Dr
Ste 575
Ft Mitchell, KY 41017
Phone (317) 292-7108

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

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, 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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1245540707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GRANT PARK DR",
            "city": "DAYTON",
            "state": "KY",
            "postal_code": "410741745",
            "telephone_number": "859-462-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112766",
            "telephone_number": "859-341-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKEY",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "LISW-S, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY.1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.