Active NPI
Lisa Gail Eason
- Clinical Social Worker
- Campbellsville, KY
National Provider Identifier
1619678497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 102 Winston Way Ste 3
Campbellsville, KY 42718-4991 - Phone
- (270) 465-0078
- NPI assigned
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Mailing address
102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Phone (270) 572-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
103 E S St
Munfordville, KY 42765-9023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Professional Counseling, LLC | Current | Accepting new patients |
Locations
102 Winston Way
Ste 3
Campbellsville, KY 42718
Phone (270) 403-0560
Organizations & group practices 1
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.
-
- Professional Counselor
- Munfordville, KY
- NPI 1063899789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1619678497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WINSTON WAY STE 3",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184991",
"telephone_number": "270-572-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WINSTON WAY STE 3",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184991",
"telephone_number": "270-465-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "LISA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
- Sherman G Dudley
- Ashleigh Durham, MS, CCC/SLP
- Megan Peake Durrett, APRN
- Joel Dean Eade, MD
- Nelda Ann Eads, PHARMD
- Eastridge-Phelps Pharmacy LLC (Eastridge-Phelps Pharmacy, Campbellsville)
- Eastridge-Phelps Pharmacy LLC (Eastridge-Phelps Pharmacy)
- John R Eastridge, PHARM.D.
- Michelle Marie Edelen, OTR/L
- Christina Edrington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.