Individual provider Active NPI

Mary Katherine Walker, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1740682913
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252993 Issued in KY
Practice address
900 S Limestone Ste 303
Lexington, KY 40536-0284
Phone
(859) 323-6634
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7073 KY
Clinical Social Worker 1041C0700X 252993 KY Primary

Addresses

Primary practice location

900 S Limestone Ste 303
Lexington, KY 40536-0284

Mailing address

900 Beasley St
Ste 120
Lexington, KY 40509-4266
Phone (859) 254-1035

Other practice location 1

900 Beasley St
Ste 120
Lexington, KY 40509-4266
Phone (859) 254-1035

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
I20201118002331 KY Practitioner - Clinical Social Worker 0042621211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7073KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Nov 1, 2020 Accepting new patients

Locations

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

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

900 S Limestone
Ste 303
Lexington, KY 40536
Phone (859) 323-6634

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1740682913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BEASLEY ST",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094266",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S LIMESTONE STE 303",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Beasley St",
            "address_2": "STE 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405094266",
            "country_code": "US",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7073",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.