Individual provider Active NPI

Bernice Raeann Calhoun, LCSW, ACADC

  • Clinical Social Worker
  • Ft Wright, KY
National Provider Identifier
1376796722
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW252850 Issued in 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
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

2156 Chamber Center Dr
Lakeside Park, KY 41017-1669
Phone (859) 341-6255

Other practice location 3

1838 Florence Pike
Burlington, KY 41005-7996
Phone (859) 334-0217

Other practice location 4

5314 Delhi Rd Ste 1
Cincinnati, OH 45238
Phone (513) 347-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCADC240049KYMDAddiction (Substance Use Disorder) Counselor
I.1901561OHMDSocial Worker
LCSW30635IDMDClinical Social Worker
LCSW252850KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Physicians, P.S.C. Past Accepting new patients
Summit Medical Group, Inc Social Worker Past Accepting new patients
Bluegrass Behavioral Health Group, LLC Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1376796722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HWY STE D",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-341-5757",
            "fax_number": "859-331-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5314 Delhi Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45238",
            "country_code": "US",
            "telephone_number": "513-347-6922",
            "fax_number": "513-347-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2156 Chamber Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeside Park",
            "state": "KY",
            "postal_code": "410171669",
            "country_code": "US",
            "telephone_number": "859-341-6255",
            "fax_number": "859-547-1197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1838 Florence Pike",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KY",
            "postal_code": "410057996",
            "country_code": "US",
            "telephone_number": "859-334-0217",
            "fax_number": "859-534-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 Delhi Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45238",
            "country_code": "US",
            "telephone_number": "513-347-6922",
            "fax_number": "513-347-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "BERNICE",
        "middle_name": "RAEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, ACADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "LCADC240049",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1901561",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW30635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW252850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.