Individual provider Active NPI

Eugina Zanon, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1740831056
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255758 Issued in KY
Practice address
2530 Scottsville Rd Ste 2
Bowling Green, KY 42104-6508
Phone
(906) 284-0325
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 255758 KY Primary

Addresses

Primary practice location

2530 Scottsville Rd Ste 2
Bowling Green, KY 42104-6508

Mailing address

2530 Scottsville Rd Ste 2
Bowling Green, KY 42104-6508
Phone (906) 284-0325

Other identifiers 1

IdentifierTypeStateIssuer
7100750690MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@kandgcounseling.com

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
I20210804003945 KY Practitioner - Clinical Social Worker 0143624601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
K&G Counseling and Consulting, LLC. Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

2530 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 598-2394

1312 Westen St
Bowling Green, KY 42104
Phone (270) 781-2111

2530 Scottsville Rd
Ste 2
Bowling Green, KY 42104
Phone (270) 598-2394

2530 Scottsville Rd
Ste 17
Bowling Green, KY 42104
Phone (270) 598-2394

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1740831056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046508",
            "telephone_number": "906-284-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046508",
            "telephone_number": "906-284-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANON",
        "first_name": "EUGINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100750690",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@kandgcounseling.com",
            "affiliation": "N",
            "address_1": "2530 Scottsville Rd Ste 2",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421046508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.