Individual provider Active NPI

Lisa V. Stocksdale, LCSW

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1366760365
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY-1950 Issued in KY
Practice address
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone
(270) 706-1706
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 KY-1950 KY Primary

Addresses

Primary practice location

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Mailing address

PO Box 2119
Elizabethtown, KY 42702-2119
Phone (270) 706-1706

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
I20100819001290 KY Practitioner - Clinical Social Worker 8527192962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

120 Helmwood Plaza Dr
Suite 103
Elizabethtown, KY 42701-3459
Phone (270) 979-7171

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1950KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Clinical Current Accepting new patients
Baptist Health Medical Group Inc Clinical CurrentSince Sep 1, 2022 Accepting new patients
Hardin Professional Services Past Accepting new patients

Locations

120 Helmwood Plaza Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5631

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

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

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 4

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": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1366760365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2119",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022119",
            "telephone_number": "270-706-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012503",
            "telephone_number": "270-706-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSDALE",
        "first_name": "LISA",
        "middle_name": "V.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.