Active NPI
Charity Wickliffe
- Social Worker
- Bardstown, KY
National Provider Identifier
1750299129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW00001659
- 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
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 |
|---|---|---|---|---|
| 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.