Individual provider Active NPI

Joyce P Glackin-Mann, LCSW, LCADC

  • Clinical Social Worker
  • Prospect, KY
National Provider Identifier
1255203642
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260013 Issued in KY
Practice address
5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone
(859) 346-3691
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 260013 KY
Clinical Social Worker 1041C0700X 260013 KY Primary

Addresses

Primary practice location

5807 Harrods Glen Dr
Prospect, KY 40059-7650

Mailing address

5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone (859) 346-3691

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
I20251028002172 KY Practitioner - Clinical Social Worker 5597254821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Ring Rd
Elizabethtown, KY 42701-9454

2809 Marigold Ave
Louisville, KY 40213-3149

500 W Jefferson St
Louisville, KY 40202-2881

PO
Suite 2910
Lexington, CA 91110-2910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260013KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
US Psychiatry PLLC CurrentSince Sep 28, 2025 Accepting new patients
US Family Care Psychiatry PLLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (606) 877-4579

Organizations & group practices 3

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1255203642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "telephone_number": "859-346-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "telephone_number": "859-346-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLACKIN-MANN",
        "first_name": "JOYCE",
        "middle_name": "P",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "260013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.