Individual provider Active NPI

Clara Mitchell

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1578032520
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255164 Issued in KY
Practice address
2250 Leestown Rd
Lexington, KY 40511-1052
Phone
(859) 233-4511
NPI assigned
Nov 20, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 255164 KY Primary

Addresses

Primary practice location

2250 Leestown Rd
Lexington, KY 40511-1052

Mailing address

2250 Leestown Rd
Lexington, KY 40511-1052
Phone (859) 233-4511

Other practice location 1

3150 Custer Dr
Lexington, KY 40517-4010
Phone (859) 765-6300

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

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
I20200921003003 KY Practitioner - Clinical Social Worker 3577981679 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartoria Health Services LLCGroup PAC ID 9638501380, 2 clinicians

Practice addresses (Care Compare)

3161 Custer Dr
Suite 3
Lexington, KY 40517-4067
Phone (859) 368-0434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Jan 1, 2021 Accepting new patients
New Vista of the Bluegrass Inc Current Accepting new patients
Kentucky Services, LLC CurrentSince Sep 20, 2022 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Hartoria Health Services LLC CurrentSince Sep 20, 2020 Accepting new patients
New Vista of the Bluegrass Inc CurrentSince Aug 28, 2020 Accepting new patients
New Vista of the Bluegrass CurrentSince Aug 28, 2020 Accepting new patients
Kentucky Services, LLC CurrentSince Sep 20, 2022 Accepting new patients
Total Wellness Centers, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686

3161 Custer Dr
Ste 3
Lexington, KY 40517
Phone (859) 368-0434

3150 Custer Dr
Ste 203
Lexington, KY 40517
Phone (502) 219-3488

201 Mechanic St
Lexington, KY 40507
Phone (859) 233-0444

1351 Newtown Pike
Bldg 5
Lexington, KY 40511
Phone (859) 233-0444

1351 Newtown Pike
Lexington, KY 40511
Phone (859) 233-0444

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578032520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-233-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-233-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Custer Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405174010",
            "country_code": "US",
            "telephone_number": "859-765-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.