Active NPI
William Washington
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1306260740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6541 | KY | MD | Physical Therapist |
| 4076 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Doors of Hope | Clinical | Current | Accepting new patients |
| Isaiah House, Inc. | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Willisburg, KY
- NPI 1396086559
-
- Clinical Social Worker
- Lexington, KY
- NPI 1487279204
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1124742739
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.