Kerry A Weintraub, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259663 Issued in KY

Practice address

1182 Jones St
Radcliff, KY 40160-9612

Phone

(502) 230-1656

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rise From the Ashes

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1093647109
  NPD Authorized official
• Lighthouse Sober Solutions LLC

  dba Lighthouse Sober Solutions

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
  • NPI 1235821083
  NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1760159875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PORTOBELLO RD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401608933",
            "telephone_number": "253-306-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 JONES ST",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609612",
            "telephone_number": "502-230-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 W Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427011702",
            "country_code": "US",
            "telephone_number": "270-234-0003 x104",
            "fax_number": "270-360-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "KERRY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "255349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259663",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "256121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012694A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101022870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie L Walker, LCSW
• Brittanie Washington
• Roy Bernard Washington, ARNP
• Isabella Faith Watson
• Melissa Grace Webster, APRN
• Kathleen Welch, PHARMD
• Nathan S Wendell
• Witold A Wilk, D.O.
• William C. Eriksen, PSC (Eriksen Chiropractic Centers)
• Adam D Williams

• Clinical Social Worker in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.