Active NPI
Christina Woodruff, LCSW
- Clinical Social Worker
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252827
- Practice address
- 1351 Newtown Pike BLDG 1
Lexington, KY 40511-1277 - Phone
- (859) 253-1686
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7210 | KY | |
| Clinical Social Worker | 1041C0700X | 252827 | KY | Primary |
Addresses
Primary practice location
1351 Newtown Pike BLDG 1
Lexington, KY 40511-1277
Mailing address
501 Darby Creek Rd Ste 1
Lexington, KY 40509-1605
Phone (859) 813-3138
Other practice location 1
2333 Alexandria Dr
Lexington, KY 40504-3215
Phone (859) 813-3136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Other names 1
- Christina Givens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7210 | KY | MD | Social Worker |
| 252827 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
| Advanced Wound Therapy-TN PLLC | Past | Accepting new patients |
Locations
1030 Monarch St
Ste 100
Lexington, KY 40513
Phone (844) 468-5050
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
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.
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- NPI 1811915713
Clinical, KY
-
- Family Medicine Physician
- Franklin, TN
- NPI 1609760339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1285025288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DARBY CREEK RD STE 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091605",
"telephone_number": "859-813-3138",
"fax_number": "859-813-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE BLDG 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111277",
"telephone_number": "859-253-1686"
}
],
"practiceLocations": [
{
"address_1": "2333 ALEXANDRIA DR",
"address_purpose": "LOCATION",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043215",
"country_code": "US",
"telephone_number": "859-813-3136",
"fax_number": "859-813-3136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODRUFF",
"first_name": "CHRISTINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "7210",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "GIVENS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.