Individual provider Active NPI

Blake Lee Jones, PH.D., LCSW

  • Clinical Social Worker
  • Midway, KY
National Provider Identifier
1710194386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1209 Issued in KY
Practice address
132 Carriage LN
Midway, KY 40347-9781
Phone
(859) 224-2022
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1209 KY Primary

Addresses

Primary practice location

132 Carriage LN
Midway, KY 40347-9781

Mailing address

132 Carriage LN
Midway, KY 40347-9781

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
I20120417000759 KY Practitioner - Clinical Social Worker 5799946893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass CenterGroup PAC ID 3779015219, 2 clinicians

Practice addresses (Care Compare)

304 E Main St
Suite 3
Wilmore, KY 40390-1375
Phone (859) 320-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1209KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Center Clinical CurrentSince May 3, 2021 Accepting new patients
Access Wellness Group Clinical CurrentSince Mar 17, 2012 Accepting new patients
SHC Medical Partners of Kentucky, LLC Clinical Past Accepting new patients

Locations

2401 Regency Rd
Ste 101
Lexington, KY 40503
Phone (859) 309-0309

304 E Main St
Ste 3
Wilmore, KY 40390
Phone (859) 320-1170

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710194386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CARRIAGE LN",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403479781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CARRIAGE LN",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403479781",
            "telephone_number": "859-224-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BLAKE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, KY

Sources for this page

Verify at the official NPI Registry.