Individual provider Active NPI

George Myers, LCSW

  • Clinical Social Worker
  • Willisburg, KY
National Provider Identifier
1669264354
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260318 Issued in KY
Practice address
2084 Main St
Willisburg, KY 40078-8199
Phone
(859) 375-9200
NPI assigned
May 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 Worker 1041C0700X 260318 KY Primary

Addresses

Primary practice location

2084 Main St
Willisburg, KY 40078-8199

Mailing address

2084 Main St
Willisburg, KY 40078-8199
Phone (859) 375-9200

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
I20250609000060 KY Practitioner - Clinical Social Worker 4284144346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260318KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Isaiah House, Inc. CurrentSince May 29, 2025 Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

2084 Main St
Willisburg, KY 40078

2042 Main St
Willisburg, KY 40078

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1669264354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willisburg, KY

Sources for this page

Verify at the official NPI Registry.