Your Guide to Livengood, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YOUR GUIDE TO LIVENGOOD, LLC

Practice address

1177 Kalone Way
Lexington, KY 40515-5432

Phone

(859) 707-5910

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Ellen Livengood, LCSW

Title

Owner

Phone

(859) 707-5910

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1245903814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 KALONE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155432",
            "telephone_number": "859-707-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 KALONE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155432",
            "telephone_number": "859-707-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR GUIDE TO LIVENGOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-707-5910",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100634920",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lexington",
            "affiliation": "N",
            "address_1": "1177 Kalone Way",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405155432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.