Individual provider Active NPI

Benjamin Tyler Scott, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1497211825
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253837 Issued in KY
Practice address
575 W Main St
Lexington, KY 40507-1644
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Feb 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 SWB-2023-0351 NM
Clinical Social Worker 1041C0700X 253837 KY Primary

Addresses

Primary practice location

575 W Main St
Lexington, KY 40507-1644

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

319 E Main St Apt 3
Wilmore, KY 40390-1365
Phone (231) 769-2010

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
I20190327000045 KY Practitioner - Clinical Social Worker 3072853183 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0351NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victory House LLC Clinical CurrentSince Apr 25, 2025 Accepting new patients
Solid Foundation Recovery Clinical CurrentSince Jun 20, 2025 Accepting new patients
Brightview LLC CurrentSince May 7, 2024 Accepting new patients
Brightview, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

1610 Madison Ave
Covington, KY 41011

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

110 Dennis Dr
Lexington, KY 40503
Phone (859) 202-7281

2645 N Laurel Rd
#A
London, KY 40741

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

Interoperability endpoints

  • Direct secure messaging: bbh.benjaminscott@140103.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1497211825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071644",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 E Main St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Wilmore",
            "state": "KY",
            "postal_code": "403901365",
            "country_code": "US",
            "telephone_number": "231-769-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BENJAMIN",
        "middle_name": "TYLER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0351",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.