Kenneth Alcorn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8508 Issued in TN

Practice address

965 S Highway 25 W
Williamsburg, KY 40769-1608

Phone

(606) 549-2656

NPI assigned

Jun 16, 2015

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, KY, TN3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dayspring Health IncGroup PAC ID 7214990746, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dayspring Health Inc

  dba Clear Fork Clinic

  • Federally Qualified Health Center (FQHC)
  • Clairfield, TN
  • NPI 1013049469
  Medicare reassignment Care Compare group NPD
• Dayspring Health Inc

  dba Dayspring Dental

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1871631804
  Medicare reassignment NPD
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388

  Social Worker

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY, TN

  Medicare reassignment
• Dayspring Health, Inc.

  dba Dayspring Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1538867551
  NPD
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Dayspring Health, Inc.

  dba Dayspring Jellico

  • Federally Qualified Health Center (FQHC)
  • Jellico, TN
  • NPI 1023022084
  NPD

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1346621240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620540",
            "telephone_number": "423-784-8492",
            "fax_number": "423-784-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691608",
            "telephone_number": "606-549-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377622343",
            "country_code": "US",
            "telephone_number": "423-784-5771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691238",
            "country_code": "US",
            "telephone_number": "606-549-2656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6539 Anthony Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641441",
            "country_code": "US",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5663 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Clairfield",
            "state": "TN",
            "postal_code": "377153632",
            "country_code": "US",
            "telephone_number": "423-784-5771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136191360",
            "country_code": "US",
            "telephone_number": "315-493-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "8508",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "258700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Adkins, M.D.
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• Air Evac EMS Inc. (Air Evac Lifeteam)
• American Health Management, Inc.
• Austin Lane Anderson, FNP-BC
• Kayla L Anderson, PT, DPT
• Appalachia Health Services LLC (Appalachia Health Services)
• Associates in Eye Care, Inc.

• Clinical Social Worker in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.