Individual provider Active NPI

Sheriese Bone, LCSW

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1366021487
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256269 Issued in KY
Practice address
212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone
(502) 625-5089
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 252799 KY
Clinical Social Worker 1041C0700X 256269 KY Primary

Addresses

Primary practice location

212 N 2ND St Ste 100
Richmond, KY 40475-1408

Mailing address

3058 Bardstown Rd # 1102
Louisville, KY 40205-3020
Phone (502) 625-5089

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230601002643 KY Practitioner - Clinical Social Worker 2163889320 Reassigns benefits to 1 organization
I20230925000755 TN Practitioner - Clinical Social Worker 2163889320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Knoxville, TN 37923
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252799KYMDSocial Worker
256269KYMDClinical Social Worker
8079TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital CurrentSince Aug 12, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince May 1, 2025 Accepting new patients
Maury Regional Hospital CurrentSince Aug 12, 2023 Accepting new patients
Eastern Iowa Health Center Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

854 W James M Campbell Blvd
Ste 301
Columbia, TN 38401
Phone (931) 388-8779

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

Organizations & group practices 7

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1366021487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 BARDSTOWN RD # 1102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053020",
            "telephone_number": "502-625-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "502-625-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONE",
        "first_name": "SHERIESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252799",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.