Individual provider Active NPI

Misty Williams Kirby, MS, LCSW

  • Clinical Social Worker
  • Nicholasville, KY
National Provider Identifier
1558074849
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257572 Issued in KY
Practice address
101 Wind Haven Dr Ste 202
Nicholasville, KY 40356-8036
Phone
(859) 230-8279
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 257572 KY Primary

Addresses

Primary practice location

101 Wind Haven Dr Ste 202
Nicholasville, KY 40356-8036

Mailing address

4713 Matthew CT
Lexington, KY 40514-1453
Phone (859) 539-6078

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
I20231204003094 KY Practitioner - Clinical Social Worker 0749638575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4713 Matthew CT
Lexington, KY 40514-1453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
257572KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tier One Counseling Collective Clinical CurrentSince Jan 8, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

1030 Monarch St
Ste 100
Lexington, KY 40513
Phone (844) 468-5050

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

101 Wind Haven Dr
Ste 202
Nicholasville, KY 40356
Phone (859) 277-0022

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

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.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1558074849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 MATTHEW CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141453",
            "telephone_number": "859-539-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR STE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568036",
            "telephone_number": "859-230-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "MISTY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.