Active NPI
Jessamynn Little, LCSW
- Clinical Social Worker
- Hopkinsville, KY
National Provider Identifier
1750138335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 258953
- Practice address
- 1002 S Virginia St Ste 400
Hopkinsville, KY 42240-3507 - Phone
- (859) 447-0855
- Fax
- (859) 479-1090
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 258953 | KY | Primary |
Addresses
Primary practice location
1002 S Virginia St Ste 400
Hopkinsville, KY 42240-3507
Mailing address
3147 Custer Dr
Lexington, KY 40517-4020
Phone (859) 447-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258953 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lionheart Trauma Support Services, LLC | Clinical | Current | Accepting new patients |
Locations
1002 S Virginia St
Ste 400
Hopkinsville, KY 42240
Phone (859) 447-0855
3147 Custer Dr
Lexington, KY 40517
Phone (859) 314-8786
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": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1750138335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3147 CUSTER DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405174020",
"telephone_number": "859-447-0855",
"fax_number": "859-479-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S VIRGINIA ST STE 400",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422403507",
"telephone_number": "859-447-0855",
"fax_number": "859-479-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JESSAMYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.