Individual provider Active NPI

Jalena Louise Robertson Adams, LCSW

  • Clinical Social Worker
  • Campbellsville, KY
National Provider Identifier
1568074136
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254058 Issued in KY
Practice address
830 W Broadway St
Campbellsville, KY 42718-2701
Phone
(866) 934-7450
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 254058 KY
Clinical Social Worker 1041C0700X 254058 KY Primary

Addresses

Primary practice location

830 W Broadway St
Campbellsville, KY 42718-2701

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

125 S Main Cross St
Louisa, KY 41230-1065
Phone (606) 638-0938

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
I20240926001426 KY Practitioner - Clinical Social Worker 6507307857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
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)

118 Patriot Dr
Suite 201
Bardstown, KY 40004-9096
Phone (502) 331-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254058KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Aug 6, 2024 Accepting new patients
Baptist Health Medical Group Inc Clinical CurrentSince Sep 1, 2025 Accepting new patients
Brightview LLC CurrentSince Aug 6, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

118 Patriot Dr
Ste 201
Bardstown, KY 40004
Phone (502) 331-4710

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

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

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

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

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1568074136",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182701",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301065",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON ADAMS",
        "first_name": "JALENA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.