Individual provider Active NPI

Amber D Longworth-Wolfe, LCSW

  • Clinical Social Worker
  • Corbin, KY
National Provider Identifier
1447377387
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4051 Issued in KY
Practice address
1203 American Greeting Card Rd
Corbin, KY 40701-4811
Phone
(606) 528-7010
Fax
(606) 528-5401
NPI assigned
Mar 24, 2007
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5325 TN
Clinical Social Worker 1041C0700X 4051 KY Primary

Addresses

Primary practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568
Phone (606) 528-7010

Other identifiers 1

IdentifierTypeStateIssuer
7100376360MedicaidKY

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
I20160325000448 KY Practitioner - Clinical Social Worker 7315127396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Cumberland Ave
Middlesboro, KY 40965-1385
Phone (606) 248-3015

2032 Cumberland Ave
Middlesboro, KY 40965-2829
Phone (606) 248-4833

3504 Cumberland Ave
Middlesboro, KY 40965-2612

3504 W Cumberland Ave
Middlesboro, KY 40965-2612
Phone (606) 248-0737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4051KYMDClinical Social Worker
5325TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jun 23, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Cumberland River Behavioral Health, Inc CurrentSince Feb 29, 2016 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

34 Mary Alice Dr
Flat Lick, KY 40935
Phone (606) 542-0146

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

324 N 19th St
Middlesboro, KY 40965
Phone (606) 248-4949

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

Organizations & group practices 9

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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1447377387",
    "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",
            "telephone_number": "606-528-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AMERICAN GREETING CARD RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014811",
            "telephone_number": "606-528-7010",
            "fax_number": "606-528-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH-WOLFE",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100376360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.