Christin Kingery, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257396 Issued in KY

Practice address

8007 Lyndon Centre Way Ste 101
Louisville, KY 40222-3608

Phone

(502) 690-8024

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Social Worker

  Medicare reassignment NPD
• Graven and Associates, PLLC

  • Clinical Neuropsychologist
  • Louisville, KY
  • NPI 1568846707
  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1669069324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 LYNDON CENTRE WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223608",
            "telephone_number": "502-690-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 LYNDON CENTRE WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223608",
            "telephone_number": "502-690-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041037",
            "country_code": "US",
            "telephone_number": "502-587-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGERY",
        "first_name": "CHRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "253131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M King, DMD
• Tonique King
• Valerie King, M.D.
• William Bradley King, M.D.
• Kingdom Counseling, LLC
• Francesca Pribble Kingery, MD
• Justin Roy Kingery, MD/PHD
• Suzanne Erinn Kingery, M.D.
• Kings Transitional Living
• Daria Kingsley

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.