Individual provider Active NPI

Kali Beth Baucom, LCSW

  • Clinical Social Worker
  • Frankfort, KY
National Provider Identifier
1457945826
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255398 Issued in KY
Practice address
627 Comanche TRL
Frankfort, KY 40601-1753
Phone
(502) 352-6000
Fax
(502) 299-6499
NPI assigned
Feb 25, 2021
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 255398 KY Primary

Addresses

Primary practice location

627 Comanche TRL
Frankfort, KY 40601-1753

Mailing address

627 Comanche TRL
Frankfort, KY 40601-1753
Phone (502) 352-6000

Other names 1

  • Kali Beth Whitacker Former name

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
I20251226001072 KY Practitioner - Clinical Social Worker 2769978998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

627 Comanche TRL
Frankfort, KY 40601-1753
Phone (502) 352-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255398KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Clinical CurrentSince Nov 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Journeypure Bowling Green LLC PastSince Mar 4, 2021 Accepting new patients
Journeypure Kentucky Medical Group LLC PastSince Mar 4, 2021 Accepting new patients

Locations

627 Comanche Trl
Frankfort, KY 40601
Phone (502) 320-3697

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Organizations & group practices 5

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1457945826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 COMANCHE TRL",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011753",
            "telephone_number": "502-352-6000",
            "fax_number": "502-299-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 COMANCHE TRL",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011753",
            "telephone_number": "502-352-6000",
            "fax_number": "502-299-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCOM",
        "first_name": "KALI",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "WHITACKER",
            "middle_name": "BETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.