Individual provider Active NPI

Susan B Bowling, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1437349073
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3692 Issued in KY
Practice address
1351 Newtown Pike
Lexington, KY 40511-1275
Phone
(859) 253-1686
NPI assigned
Jul 30, 2007
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 3692 KY Primary

Addresses

Primary practice location

1351 Newtown Pike
Lexington, KY 40511-1275

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

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
I20181025000616 KY Practitioner - Clinical Social Worker 2961755707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vista of the Bluegrass IncGroup PAC ID 6608773619, 55 clinicians

Practice addresses (Care Compare)

415 Gibson LN
Richmond, KY 40475-2577
Phone (859) 623-9367

Merit-based Incentive Payment System (MIPS)

Final score
52.29 of 100Reported as group
Quality
17.07
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3692KYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Vista of the Bluegrass Inc CurrentSince Aug 22, 2022 Accepting new patients
New Vista of the Bluegrass Inc CurrentSince Aug 22, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Sep 10, 2018 Accepting new patients
New Vista of the Bluegrass Inc Current Accepting new patients
New Vista of the Bluegrass Inc Past Accepting new patients

Locations

191 Doctors Dr
Frankfort, KY 40601
Phone (502) 223-2182

1351 Newtown Pike
Lexington, KY 40511
Phone (859) 233-0444

1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

411 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367

415 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367

325 Professional Ave
Winchester, KY 40391
Phone (859) 744-2562

Organizations & group practices 6

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1437349073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111275",
            "telephone_number": "859-253-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111275",
            "telephone_number": "859-253-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.