Individual provider Active NPI

Candace Cross, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1255753422
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253160 Issued in KY
Practice address
3406 Holwyn Rd
Lexington, KY 40503-3508
Phone
(859) 305-9466
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 CSW 6710 KY
Clinical Social Worker 1041C0700X 253160 KY Primary

Addresses

Primary practice location

3406 Holwyn Rd
Lexington, KY 40503-3508

Mailing address

3406 Holwyn Rd
Lexington, KY 40503-3508
Phone (859) 536-4864

Other practice location 1

37 E Main St
Paris, KY 40361-2007
Phone (859) 340-4264

Other practice location 2

Kentucky Counseling Center, LLC
1353 West Main Street , Kentucky
Lexington, KY 40508
Phone (855) 591-0092

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
I20180926002718 KY Practitioner - Clinical Social Worker 2264783497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW 6710KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trainings Unlimited Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1255753422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 HOLWYN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033508",
            "telephone_number": "859-536-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 HOLWYN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033508",
            "telephone_number": "859-305-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 E Main St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403612007",
            "country_code": "US",
            "telephone_number": "859-340-4264",
            "fax_number": "859-972-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Kentucky Counseling Center, LLC",
            "address_2": "1353 West Main Street , Kentucky",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40508",
            "country_code": "US",
            "telephone_number": "855-591-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "CANDACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "CSW 6710",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.