Individual provider Active NPI

Tracey Michelle McKinney, LCSW, MSW

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1326818246
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257888 Issued in KY
Practice address
801 Eastern Byp Ste 23
Richmond, KY 40475-2751
Phone
(859) 408-1708
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 257888 KY Primary

Addresses

Primary practice location

801 Eastern Byp Ste 23
Richmond, KY 40475-2751

Mailing address

801 Eastern Byp Ste 23
Richmond, KY 40475-2751
Phone (859) 408-1708

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
I20240125003654 KY Practitioner - Clinical Social Worker 7517310519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

789 Eastern Bypass
Suite 23
Richmond, KY 40475-2421
Phone (606) 523-8521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Clinical CurrentSince Jan 10, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 10, 2024 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

801 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 408-1708

789 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 544-8171

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, 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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1326818246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EASTERN BYP STE 23",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752751",
            "telephone_number": "859-408-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EASTERN BYP STE 23",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752751",
            "telephone_number": "859-408-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TRACEY",
        "middle_name": "MICHELLE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.