Individual provider Active NPI

Miranda Lee Hatfield, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1659003341
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256231 Issued in KY
Practice address
740 S Limestone Ste L119
Lexington, KY 40536-8877
Phone
(859) 257-3756
Fax
(859) 218-8997
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 256231 KY Primary

Addresses

Primary practice location

740 S Limestone Ste L119
Lexington, KY 40536-8877

Mailing address

740 S Limestone Ste L119
Lexington, KY 40536-0001

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
I20240126002783 KY Practitioner - Clinical Social Worker 7719330612 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256231KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Single Specialty CurrentSince Apr 3, 2025 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Jan 11, 2024 Accepting new patients
Baptist Health Medical Group Inc Clinical CurrentSince Jan 11, 2024 Accepting new patients

Locations

245 Fountain Ct
Lexington, KY 40509
Phone (859) 323-6021

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1659003341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE L119",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE L119",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405368877",
            "telephone_number": "859-257-3756",
            "fax_number": "859-218-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MIRANDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.