Individual provider Active NPI

Bret Nicholas Parks, LCSW

  • Clinical Social Worker
  • Morgantown, KY
National Provider Identifier
1689145971
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253776 Issued in KY
Practice address
1118 S Main St
Morgantown, KY 42261-7470
Phone
(270) 288-5036
Fax
(270) 288-5082
NPI assigned
Dec 11, 2018
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 253776 KY Primary

Addresses

Primary practice location

1118 S Main St
Morgantown, KY 42261-7470

Mailing address

1118 S Main St
Morgantown, KY 42261-7470
Phone (270) 288-5036

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
I20200206002468 KY Practitioner - Clinical Social Worker 3476989674 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253776KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Inc Clinical CurrentSince Dec 18, 2019 Accepting new patients
Limitless Minds LLC. Clinical CurrentSince Jun 11, 2021 Accepting new patients
Family Options, Inc Clinical Past Accepting new patients

Locations

1118 S Main St
Ste 2
Morgantown, KY 42261
Phone (270) 288-5036

1711 Parrish Plaza Dr
Owensboro, KY 42301
Phone (270) 691-0501

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, 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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1689145971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S MAIN ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617470",
            "telephone_number": "270-288-5036",
            "fax_number": "270-288-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S MAIN ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617470",
            "telephone_number": "270-288-5036",
            "fax_number": "270-288-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "BRET",
        "middle_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

Verify at the official NPI Registry.