Individual provider Active NPI

Christina Maria Chaney, LCSW

  • Clinical Social Worker
  • Winchester, KY
National Provider Identifier
1265810402
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3734 Issued in KY
Practice address
120 S Maple St Ste 2
Winchester, KY 40391-1928
Phone
(859) 987-5090
Fax
(859) 987-5006
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3734 KY Primary

Addresses

Primary practice location

120 S Maple St Ste 2
Winchester, KY 40391-1928

Mailing address

PO Box 336
Winchester, KY 40392-0336
Phone (859) 927-3013

Other identifiers 2

IdentifierTypeStateIssuer
7100373650MedicaidKY
3734OtherKYLICENSE

Other names 1

  • Christina Ringer Former name

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
I20170523000914 KY Practitioner - Clinical Social Worker 9931476926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3734KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bourbon Physician Practice LLC CurrentSince May 1, 2017 Accepting new patients
Bourbon Physician Practice LLC Current Accepting new patients
Positive Vibes Counseling, LLC Clinical CurrentSince Apr 19, 2020 Accepting new patients
Bourbon Physician Practice LLC Clinical CurrentSince May 1, 2017 Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

22 Clinic Dr
Paris, KY 40361
Phone (859) 987-0074

120 S Maple St
Ste 2
Winchester, KY 40391
Phone (859) 749-3013

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4

Organizations & group practices 4

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1265810402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403920336",
            "telephone_number": "859-927-3013",
            "fax_number": "859-203-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAPLE ST STE 2",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911928",
            "telephone_number": "859-987-5090",
            "fax_number": "859-987-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100373650",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3734",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "RINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.