Individual provider Active NPI

William Washington

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1306260740
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4076 Issued in KY
Practice address
1109 Centurian Rd
Lexington, KY 40517-3165
Phone
(859) 873-4481
Fax
(859) 873-8078
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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 6541 KY
Clinical Social Worker 1041C0700X 4076 KY Primary

Addresses

Primary practice location

1109 Centurian Rd
Lexington, KY 40517-3165

Mailing address

1109 Centurian Rd
Lexington, KY 40517
Phone (859) 873-4481

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
I20180802001118 KY Practitioner - Clinical Social Worker 4880942168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6541KYMDPhysical Therapist
4076KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Doors of Hope Clinical Current Accepting new patients
Isaiah House, Inc. CurrentSince Oct 16, 2022 Accepting new patients
Choose Hope LLC Past Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

2042 Main St
Willisburg, KY 40078

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.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1306260740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CENTURIAN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40517",
            "telephone_number": "859-873-4481",
            "fax_number": "859-873-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CENTURIAN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173165",
            "telephone_number": "859-873-4481",
            "fax_number": "859-873-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.