Individual provider Active NPI

Phyllis Leigh, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1346657111
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3757 Issued in KY
Practice address
961 Beasley St Ste 170
Lexington, KY 40509-4120
Phone
(859) 230-4987
Fax
(859) 286-6448
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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 3757 KY Primary

Addresses

Primary practice location

961 Beasley St Ste 170
Lexington, KY 40509-4120

Mailing address

961 Beasley St Ste 170
Lexington, KY 40509-4120
Phone (859) 396-3376

Other identifiers 1

IdentifierTypeStateIssuer
7100392090MedicaidKY

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
I20160927001046 KY Practitioner - Clinical Social Worker 1951698406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Better Mental Health Ky, LLCGroup PAC ID 6305244997, 4 clinicians
Alteri, LLCGroup PAC ID 5698189405, 7 clinicians

Practice addresses (Care Compare)

Lexington, KY 40509
Phone (859) 869-9590

1795 Alysheba Way
Suite 4206
Lexington, KY 40509-2489
Phone (859) 869-9590

190 W Lowry LN
Suite 200
Lexington, KY 40503-3025
Phone (859) 277-4992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Mental Health Ky, LLC Clinical CurrentSince Jan 1, 2022 Accepting new patients
Alteri, LLC Clinical CurrentSince Dec 1, 2020 Accepting new patients

Locations

642 E Lexington Ave
Danville, KY 40422
Phone (859) 209-2269

938 Louisville Rd
Ste 300
Frankfort, KY 40601

190 W Lowry Ln
Ste 200
Lexington, KY 40503
Phone (859) 277-0099

1795 Alysheba Way
Ste 4206
Lexington, KY 40509
Phone (859) 869-9590

961 Beasley St
Ste 170
Lexington, KY 40509
Phone (859) 226-5022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1346657111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 BEASLEY ST STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094120",
            "telephone_number": "859-396-3376",
            "fax_number": "859-286-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 BEASLEY ST STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094120",
            "telephone_number": "859-230-4987",
            "fax_number": "859-286-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "PHYLLIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100392090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.