Active NPI
Scotty Caudill
- Clinical Social Worker
- Jeremiah, KY
National Provider Identifier
1760966386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 259732
- Practice address
- 185 Sunny Point Rd
Jeremiah, KY 41826-8919 - Phone
- (606) 335-2469
- Fax
- (606) 487-2899
- NPI assigned
- Sep 19, 2018
- Last updated
- Oct 17, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 259732 | KY | Primary |
Addresses
Primary practice location
185 Sunny Point Rd
Jeremiah, KY 41826-8919
Mailing address
185 Sunny Point Rd
Jeremiah, KY 41826-8919
Phone (606) 335-2469
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 |
|---|---|---|---|
| 259732 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1760966386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SUNNY POINT RD",
"city": "JEREMIAH",
"state": "KY",
"postal_code": "418268919",
"telephone_number": "606-335-2469",
"fax_number": "606-487-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SUNNY POINT RD",
"city": "JEREMIAH",
"state": "KY",
"postal_code": "418268919",
"telephone_number": "606-335-2469",
"fax_number": "606-487-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "SCOTTY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "259732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jeremiah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.