Individual provider Active NPI

Tonia Ann Wells, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1295589927
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258941 Issued in KY
Practice address
1301 Winchester Rd Ste 147
Lexington, KY 40505-4179
Phone
(859) 309-2814
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 258941 KY Primary

Addresses

Primary practice location

1301 Winchester Rd Ste 147
Lexington, KY 40505-4179

Mailing address

781 Eureka Dr
Versailles, KY 40383-1934
Phone (859) 388-4787

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
I20240814002571 KY Practitioner - Clinical Social Worker 9436697059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
LJKSGroup PAC ID 2769895374, 6 clinicians

Practice addresses (Care Compare)

1301 Winchester Rd
Suite 147
Lexington, KY 40505-4179
Phone (859) 309-2814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Associates Current Accepting new patients
LJKS Clinical CurrentSince May 26, 2024 Accepting new patients

Locations

1301 Winchester Rd
Ste 147
Lexington, KY 40505
Phone (859) 309-2814

Organizations & group practices 2

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1295589927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 EUREKA DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831934",
            "telephone_number": "859-388-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 147",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054179",
            "telephone_number": "859-309-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TONIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.