Bernice Raeann Calhoun, LCSW, ACADC
Individual provider Active NPI Clinical Social Worker · Ft Wright, KY
NPI 1376796722 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1376796722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW252850 (KY)
- Practice address
- 1955 Dixie Hwy Ste D
Ft Wright, KY 41011 - Phone
- (859) 341-5757
- Fax
- (859) 331-4757
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCADC240049 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| I.1901561 | OH | MD | Social Worker |
| LCSW30635 | ID | MD | Clinical Social Worker |
| LCSW252850 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Clinical | Past | Accepting new patients |
| Summit Medical Group, Inc | Social Worker | Past | Accepting new patients |
| Total Access Physicians, P.S.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCADC240049 | KY | |
| Social Worker | 104100000X | I.1901561 | OH | |
| Clinical Social Worker | 1041C0700X | LCSW30635 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW252850 | KY | Yes |
Addresses
Primary practice location
1955 Dixie Hwy Ste D
Ft Wright, KY 41011
Mailing address
237 William Howard Taft Rd
Cincinnati, OH 45219-2610
Phone (513) 351-9900
Other practice location 1
5314 Delhi Rd Ste 1
Cincinnati, OH 45238
Phone (513) 347-6922
Other practice location 2
1838 Florence Pike
Burlington, KY 41005-7996
Phone (859) 334-0217
Other practice location 3
5314 Delhi Rd Ste 1
Cincinnati, OH 45238
Phone (513) 347-6922
Other practice location 4
2156 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone (859) 341-6255
Other providers in Ft Wright, KY
- Sheena Boury
- Nicole Renee Brummett
- Kelly D Brunson
- Maria Burton
- Darla N Cahill
- Caretenders VS of Central Ky, LLC
- City of Ft. Wright
- Erin Cody
- Jazmyn Coleman
- Jennifer Lynn Cruse
All providers in Ft Wright, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.