Individual provider Active NPI

Tiffany Lucas, LCSW

  • Clinical Social Worker
  • Hardinsburg, KY
National Provider Identifier
1740235688
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3229 Issued in KY
Practice address
203A Fairgrounds Rd
Hardinsburg, KY 40143-2585
Phone
(270) 580-7253
Fax
(270) 580-7290
NPI assigned
May 22, 2006
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 3229 KY Primary

Addresses

Primary practice location

203A Fairgrounds Rd
Hardinsburg, KY 40143-2585

Mailing address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605

Other identifiers 1

IdentifierTypeStateIssuer
11574923OtherCAQH

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
I20110913000716 KY Practitioner - Clinical Social Worker 4486825981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

213 Old Hwy 60
Hardinsburg, KY 40143-2503
Phone (270) 750-9622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3229KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC CurrentSince Dec 18, 2018 Accepting new patients
Better Health Consultants, LLC PastSince Mar 21, 2021 Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

203A Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-7253

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

Organizations & group practices 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1740235688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-766-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A FAIRGROUNDS RD",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432585",
            "telephone_number": "270-580-7253",
            "fax_number": "270-580-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11574923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardinsburg, KY

Sources for this page

Verify at the official NPI Registry.