Active NPI
Misty April Nunn, LCSW
- Clinical Social Worker
- Manchester, KY
National Provider Identifier
1437558293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5134
- Practice address
- 409 Richmond Rd
Manchester, KY 40962-1373 - Phone
- (606) 594-7479
- NPI assigned
- Aug 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6939 | KY | |
| Clinical Social Worker | 1041C0700X | 5134 | KY | Primary |
Addresses
Primary practice location
409 Richmond Rd
Manchester, KY 40962-1373
Mailing address
PO Box 568
Corbin, KY 40702-0568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100403190 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Kentucky College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
332 Birnie Ave
Springfield, MA 01107-1104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6939 | KY | MD | Clinical Social Worker |
| 5134 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Human Development, Inc. | Clinical | Current | Accepting new patients |
| Center for Human Development, Inc | Current | Accepting new patients |
Locations
131 W Main St
#1
Orange, MA 01364
Phone (978) 544-2148
131 W Main St
Fl 1
Orange, MA 01364
332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189
367 Pine St
Springfield, MA 01105
Phone (413) 737-1426
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Springfield, MA
- NPI 1912099219
Clinical
-
- Family Medicine Physician
- West Springfield, MA
- NPI 1861250953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1437558293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "CORBIN",
"state": "KY",
"postal_code": "407020568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 RICHMOND RD",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409621373",
"telephone_number": "606-594-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "MISTY",
"middle_name": "APRIL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "6939",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "5134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100403190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.