Active NPI
Allison Motley-Crouch, LCSW
- Clinical Social Worker
- Mount Sterling, KY
National Provider Identifier
1376971606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4074
- Practice address
- 209 N Maysville St
Suite 200
Mount Sterling, KY 40353-1179 - Phone
- (859) 404-7686
- Fax
- (859) 498-8160
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4074 | KY | Primary |
Addresses
Primary practice location
209 N Maysville St
Suite 200
Mount Sterling, KY 40353-1179
Mailing address
209 N Maysville St
Suite 200
Mount Sterling, KY 40353-1179
Phone (859) 404-7686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12787177 | Other | KY | CAQH |
| 4074 | Other | KY | LCSW LICENSE |
| 6153 | Other | KY | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soulthrive Therapy Services PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Salt Lick, KY
- NPI 1669047775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1376971606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N MAYSVILLE ST",
"address_2": "SUITE 200",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403531179",
"telephone_number": "859-404-7686",
"fax_number": "859-498-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N MAYSVILLE ST",
"address_2": "SUITE 200",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403531179",
"telephone_number": "859-404-7686",
"fax_number": "859-498-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTLEY-CROUCH",
"first_name": "ALLISON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "4074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12787177",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "4074",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6153",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.