Rebecca Kilbourne
Individual provider Active NPI Clinical Social Worker · Hyden, KY
NPI 1245651256 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1245651256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 253440 (KY)
- Practice address
- 130 Kate Ireland Drive
Hyden, KY 41749 - Phone
- (606) 672-2341
- Fax
- (606) 672-5254
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190920000922 | KY | Practitioner - Clinical Social Worker | 3375873169 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Current |
Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Current | Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current |
Accepting new patients | |
| Arh Mary Breckinridge Health Services, Inc. | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Locations
100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978
130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253440 | KY | Yes |
Addresses
Primary practice location
130 Kate Ireland Drive
Hyden, KY 41749
Mailing address
130 Kate Ireland Drive
Hyden, KY 41749-9415
Phone (606) 672-2341
Other practice location 1
115 Rockwood Ln
Hazard, KY 41701
Phone (606) 436-5761
Other providers in Hyden, KY
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- King Pharmacy Inc
- Kaitlyn Kreitzer
- Leslie County Board of Education
- Mag Medical
- Joann B Martin
All providers in Hyden, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.