Active NPI
Kathy Tichenor, LCSW
- Clinical Social Worker
- Madisonville, KY
National Provider Identifier
1447635818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252743
- Practice address
- 2100 N Main St Ste I
Madisonville, KY 42431-9007 - Phone
- (270) 339-5670
- Fax
- (270) 245-2113
- NPI assigned
- Jul 27, 2015
- Last updated
- Jan 9, 2023
- 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 | 252743 | KY | Primary |
Addresses
Primary practice location
2100 N Main St Ste I
Madisonville, KY 42431-9007
Mailing address
769 Legion Dr
Madisonville, KY 42431-3109
Phone (279) 339-5670
Other practice location 1
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
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
| License | State | Type | Specialty |
|---|---|---|---|
| 252743 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Kathy Tichenor Counseling LLC | Clinical | Current | Accepting new patients |
Interoperability endpoints
- kathytichenor@tdh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Madisonville, KY
- NPI 1568923969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1447635818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 LEGION DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424313109",
"telephone_number": "279-339-5670",
"fax_number": "270-245-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST STE I",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424319007",
"telephone_number": "270-339-5670",
"fax_number": "270-245-2113"
}
],
"practiceLocations": [
{
"address_1": "104 S Front Ave",
"address_purpose": "LOCATION",
"city": "Prestonsburg",
"state": "KY",
"postal_code": "416531614",
"country_code": "US",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TICHENOR",
"first_name": "KATHY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2023-01-09",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.