Individual provider Active NPI

Sierra Reeves, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1740738079
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253676 Issued in KY
Practice address
513 Madison Ave
Covington, KY 41011-1562
Phone
(859) 331-3292
Fax
(859) 578-2864
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 253676 KY Primary

Addresses

Primary practice location

513 Madison Ave
Covington, KY 41011-1562

Mailing address

503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200

Other identifiers 1

IdentifierTypeStateIssuer
610661458OtherKYTAX ID

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
I20181213001281 KY Practitioner - Clinical Social Worker 5496090854 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
Group practices

Practice addresses (Care Compare)

513 Madison Ave
FL 4
Covington, KY 41011-1562
Phone (859) 578-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Oct 16, 2018 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Oct 16, 2018 Accepting new patients

Locations

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

513 Madison Ave
Fl 4
Covington, KY 41011

513 Madison Ave
Covington, KY 41011
Phone (859) 291-1121

12 E 5th St
Newport, KY 41071
Phone (859) 491-6510

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1740738079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111562",
            "telephone_number": "859-331-3292",
            "fax_number": "859-578-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SIERRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "610661458",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.