Charles Nathan Saucedo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007848A Issued in IN

Practice address

259 Parkers Mill Rd
Somerset, KY 42501-3152

Phone

(606) 679-4782

NPI assigned

Sep 29, 2010

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Cumberland Regional Mental Health Mental Retardation Board Inc .Group PAC ID 3375536717, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  dba The Adanta Group

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  Medicare reassignment Care Compare group NPD
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1285943977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PARKERS MILL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013152",
            "telephone_number": "606-679-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "616-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IN",
            "postal_code": "474601119",
            "country_code": "US",
            "telephone_number": "812-829-0037",
            "fax_number": "812-829-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "CHARLES",
        "middle_name": "NATHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan T. Sanford, CERT. PSYCH. ASSOC.
• Natasha Sanford
• Steven Ray Santee, CPSS-CSA
• Felicia Sartin
• Sas Services, Inc. (Comfort Keepers #362)
• Sav Rite Family Pharmacy South Inc (Sav-Rite Pharmacy South)
• Amanda Saylor
• Brittney Nichole Saylor, MA
• Laureen Schaser
• Harvey A. Schleter, OD PSC

• Clinical Social Worker in Somerset, KY
• Providers in Somerset, 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 Feb 25, 2021; 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.

Verify at the official NPI Registry.