Individual provider Active NPI

Jill M Hughes, LCSW

  • Clinical Social Worker
  • Monticello, KY
National Provider Identifier
1609043736
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253896 Issued in KY
Practice address
150 S Main St
Monticello, KY 42633-1428
Phone
(606) 348-9318
NPI assigned
May 8, 2008
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 253896 KY Primary

Addresses

Primary practice location

150 S Main St
Monticello, KY 42633-1428

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

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
I20190312002230 KY Practitioner - Clinical Social Worker 4082954987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253896KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Rise Mental Health and Wellness PastSince Mar 21, 2024 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient PastSince Jul 25, 2019 Accepting new patients

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

150 S Main St
Monticello, KY 42633
Phone (606) 348-9318

735 W Columbia Ave
Monticello, KY 42633
Phone (606) 348-9318

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

90 Medical Ln
Whitley City, KY 42653
Phone (606) 376-2466

Organizations & group practices 3

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1609043736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331428",
            "telephone_number": "606-348-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.