Individual provider Active NPI

Victoria Lynn Ewing, LCSW

  • Clinical Social Worker
  • Morehead, KY
National Provider Identifier
1659420768
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3137 Issued in KY
Practice address
5552 Big Perry Rd
Morehead, KY 40351-8954
Phone
(859) 312-7229
Fax
(859) 309-0353
NPI assigned
Jan 9, 2007
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 3137 KY Primary

Addresses

Primary practice location

5552 Big Perry Rd
Morehead, KY 40351-8954

Mailing address

5552 Big Perry Rd
Morehead, KY 40351-8954
Phone (859) 312-7229

Other identifiers 1

IdentifierTypeStateIssuer
30615058MedicaidKY

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
I20130808000966 KY Practitioner - Clinical Social Worker 4082856703 Reassigns benefits to 3 organizations
Practice locations: Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5552 Big Perry Rd
Morehead, KY 40351-8954

996 E New Circle Rd
Suite 128
Lexington, KY 40505-4127
Phone (859) 312-7229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightfuturenow Clinical CurrentSince Aug 20, 2023 Accepting new patients
Resurrection Treatment Clinics LLC CurrentSince May 1, 2016 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 6, 2024 Accepting new patients
Primary Care of the Bluegrass, LLC CurrentSince Jan 8, 2014 Accepting new patients
Alc Resources LLC Past Accepting new patients

Locations

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

1031 Wellington Way
Ste 240
Lexington, KY 40513

1055 Wellington Way
Ste 275
Lexington, KY 40513

1718 Alexandria Dr
Ste 101
Lexington, KY 40504
Phone (859) 276-1015

1718 Alexandria Dr
Ste 301
Lexington, KY 40504

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

Interoperability endpoints

  • Direct secure messaging: bbh.victoriaewing@140103.advancedmd-direct.com

Organizations & group practices 5

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1659420768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 BIG PERRY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518954",
            "telephone_number": "859-312-7229",
            "fax_number": "859-309-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 BIG PERRY RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518954",
            "telephone_number": "859-312-7229",
            "fax_number": "859-309-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.