Individual provider Active NPI

Karen J Sallee, LCSW

  • Clinical Social Worker
  • Jackson, KY
National Provider Identifier
1336169564
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
468 Issued in KY
Practice address
468 Railroad St
Jackson, KY 41339-9201
Phone
(606) 666-2328
Fax
(606) 666-2777
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 468 KY Primary

Addresses

Primary practice location

468 Railroad St
Jackson, KY 41339-9201

Mailing address

468 Railroad St
Jackson, KY 41339-9201
Phone (606) 666-2328

Other identifiers 1

IdentifierTypeStateIssuer
8200066200MedicaidKY

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
I20051207000226 KY Practitioner - Clinical Social Worker 9234159112 Reassigns benefits to 1 organization
Practice locations: Jackson, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

1060 Grand Ave
Beattyville, KY 41311-9104
Phone (606) 464-0108

2004 Hwy 11 S
Beattyville, KY 41311-7543
Phone (606) 464-0108

468 Railroad St
Jackson, KY 41339-9201
Phone (606) 666-2328

95 Jackson HTS
Suite a
Jackson, KY 41339-6593
Phone (606) 718-6505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Clinics of Kentucky LLC CurrentSince Dec 1, 2018 Accepting new patients
United Clinics of Kentucky LLC CurrentSince Dec 1, 2018 Accepting new patients
United Clinics of Kentucky LLC PastSince Aug 1, 2021 Accepting new patients
United Clinics of Kentucky LLC PastSince Aug 1, 2021 Accepting new patients
QPS LLC Past Accepting new patients

Locations

95 Jackson Hts
Ste A
Jackson, KY 41339
Phone (606) 718-6505

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1336169564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 RAILROAD ST",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399201",
            "telephone_number": "606-666-2328",
            "fax_number": "606-666-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 RAILROAD ST",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399201",
            "telephone_number": "606-666-2328",
            "fax_number": "606-666-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8200066200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.