Active NPI
Misty Dawn Puckett, CSW
- Social Worker
- Salyersville, KY
National Provider Identifier
1295624401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 259351
- Practice address
- 635 Flint BR
Salyersville, KY 41465-8560 - Phone
- (937) 798-1619
- NPI assigned
- Jul 1, 2025
- Last updated
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 259351 | KY | Primary |
Addresses
Primary practice location
635 Flint BR
Salyersville, KY 41465-8560
Mailing address
635 Flint BR
Salyersville, KY 41465-8560
Phone (937) 798-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259351 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1295624401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 FLINT BR",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "414658560",
"telephone_number": "937-798-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 FLINT BR",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "414658560",
"telephone_number": "937-798-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "MISTY",
"middle_name": "DAWN",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "259351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salyersville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.