Individual provider Active NPI

Ashley Nicole Pettit, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1730615691
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257355 Issued in KY
Practice address
830 S Limestone Ste 304
Lexington, KY 40536-1736
Phone
(859) 323-0303
Fax
(859) 323-1200
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 252036 KY
Clinical Social Worker 1041C0700X 257355 KY Primary

Addresses

Primary practice location

830 S Limestone Ste 304
Lexington, KY 40536-1736

Mailing address

4185 Lexington Rd
Versailles, KY 40383-1736
Phone (859) 873-9277

Other practice location 1

4185 Lexington Rd
Versailles, KY 40383-1736
Phone (859) 873-9277

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
I20230803002937 KY Practitioner - Clinical Social Worker 1153782313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

830 S Limestone
Lexington, KY 40536
Phone (859) 323-0303

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252036KYMDSocial Worker
257355KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 11, 2023 Accepting new patients

Locations

830 S Limestone
Lexington, KY 40536
Phone (859) 257-6451

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

830 S Limestone
Ste 304
Lexington, KY 40536
Phone (859) 323-0257

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1730615691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 LEXINGTON RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831736",
            "telephone_number": "859-873-9277",
            "fax_number": "859-873-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE STE 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361736",
            "telephone_number": "859-323-0303",
            "fax_number": "859-323-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4185 Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831736",
            "country_code": "US",
            "telephone_number": "859-873-9277",
            "fax_number": "859-873-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.