Active NPI
Lisa Dodd
- Clinical Social Worker
- Covington, KY
National Provider Identifier
1760447734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3021
- Practice address
- 513 Madison Ave
Covington, KY 41011-1562 - Phone
- (859) 957-2902
- NPI assigned
- Apr 20, 2006
- Last updated
- Apr 27, 2020
- 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 | 3021 | KY | Primary |
Addresses
Primary practice location
513 Madison Ave
Covington, KY 41011-1562
Mailing address
4063 Deerchase Dr
Erlanger, KY 41018-3845
Other practice location 1
2816 Bluegrass Dr
Highland Heights, KY 41076-1577
Phone (859) 442-8500
Other practice location 2
9599 Summer Hill Rd
California, KY 41007-9055
Phone (859) 635-0500
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 |
|---|---|---|---|
| 3021 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Hill Children's Home, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Holly Hill Child and Family Solutions
- Community/Behavioral Health Agency
- Highland Heights, KY
- NPI 1407150402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1760447734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4063 DEERCHASE DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410183845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MADISON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410111562",
"telephone_number": "859-957-2902"
}
],
"practiceLocations": [
{
"address_1": "2816 Bluegrass Dr",
"address_purpose": "LOCATION",
"city": "Highland Heights",
"state": "KY",
"postal_code": "410761577",
"country_code": "US",
"telephone_number": "859-442-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9599 Summer Hill Rd",
"address_purpose": "LOCATION",
"city": "California",
"state": "KY",
"postal_code": "410079055",
"country_code": "US",
"telephone_number": "859-635-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODD",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.