Individual provider Active NPI

Jessica Elizabeth Duval, LCSW, LCADC

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1295236537
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254546 Issued in KY
Practice address
1801 Alexandria Dr Ste 253
Lexington, KY 40504-3154
Phone
(859) 619-4591
Fax
(859) 399-6877
NPI assigned
Feb 22, 2018
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 254546 KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 164426 KY

Addresses

Primary practice location

1801 Alexandria Dr Ste 253
Lexington, KY 40504-3154

Mailing address

1801 Alexandria Dr Ste 253
Lexington, KY 40504-3154
Phone (859) 619-4591

Other identifiers 2

IdentifierTypeStateIssuer
7100532740MedicaidKY
7100704390MedicaidKY

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
I20210309002995 KY Practitioner - Clinical Social Worker 3870909245 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164426KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DJG LLC Addiction (Substance Use Disorder) CurrentSince Nov 10, 2023 Accepting new patients
Jessica Duval, LCSW, Lcadc LLC CurrentSince May 16, 2022 Accepting new patients
Changed Lives Substance Abuse Treatment CurrentSince Jan 1, 2021 Accepting new patients
Elevated Mind and Wellness Group Clinical CurrentSince Jul 1, 2025 Accepting new patients
Deaton & Deaton Counseling & Consulting Clinical CurrentSince May 2, 2022 Accepting new patients
Halcyon Behavioral Health, LLC Clinical Past Accepting new patients

Locations

7145 E Virginia St
Ste 2000
Evansville, IN 47715
Phone (812) 476-6161

1100 US Highway 127 S
Ste C4
Frankfort, KY 40601
Phone (502) 209-7817

715 Shaker Dr
Ste 80
Lexington, KY 40504
Phone (859) 263-2204

3175 Custer Dr
Ste 101
Lexington, KY 40517
Phone (859) 303-8801

149 Deweese St
Lexington, KY 40507
Phone (859) 229-6235

Organizations & group practices 6

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1295236537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ALEXANDRIA DR STE 253",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043154",
            "telephone_number": "859-619-4591",
            "fax_number": "859-399-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ALEXANDRIA DR STE 253",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043154",
            "telephone_number": "859-619-4591",
            "fax_number": "859-399-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254546",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100532740",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100704390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.