Individual provider Active NPI

Charity Wickliffe

  • Social Worker
  • Bardstown, KY
National Provider Identifier
1750299129
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW00001659 Issued in KY
Practice address
1345 Templin Ave
Bardstown, KY 40004-2523
Phone
(502) 472-7293
Fax
(502) 690-4500
NPI assigned
Aug 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW00001659 KY Primary

Addresses

Primary practice location

1345 Templin Ave
Bardstown, KY 40004-2523

Mailing address

8134 New la Grange Rd Ste 100
Louisville, KY 40222-4677
Phone (502) 472-7293

Other practice location 1

980 Templin Ave
Bardstown, KY 40004-2508
Phone (502) 472-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1750299129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224677",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 TEMPLIN AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042523",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Templin Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042508",
            "country_code": "US",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLIFFE",
        "first_name": "CHARITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "CSW00001659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.