Individual provider Active NPI

Theresa Hockensmith

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1821404443
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252453 Issued in KY
Practice address
200 W Lowry LN
Lexington, KY 40503-3019
Phone
(859) 278-1814
Fax
(859) 276-5206
NPI assigned
Jul 2, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252453 KY Primary

Addresses

Primary practice location

200 W Lowry LN
Lexington, KY 40503-3019

Mailing address

134 Hall St
Hazard, KY 41701-1332
Phone (859) 361-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000274 KY Practitioner - Clinical Social Worker 2961786595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric AssociatesGroup PAC ID 9436147048, 9 clinicians
Salyersville Medical Center, LLCGroup PAC ID 4385539501, 3 clinicians

Practice addresses (Care Compare)

156 Island Creek Rd
Pikeville, KY 41501-9340
Phone (606) 432-3221

268 E Maple St
Salyersville, KY 41465-8032
Phone (606) 349-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252453KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates Current Accepting new patients
Leonard a Clark LCSW PSC CurrentSince Jul 7, 2019 Accepting new patients
Salyersville Medical Center, LLC CurrentSince Feb 1, 2021 Accepting new patients
Pediatric Associates CurrentSince Jun 27, 2020 Accepting new patients

Locations

1710 N Main St
Hazard, KY 41701
Phone (606) 439-4865

200 W Lowry Ln
Lexington, KY 40503
Phone (859) 229-8160

156 Island Creek Rd
Pikeville, KY 41501
Phone (606) 432-0174

268 E Maple St
Salyersville, KY 41465
Phone (606) 349-5300

321C E College Ave
Stanton, KY 40380
Phone (606) 663-9797

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821404443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HALL ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011332",
            "telephone_number": "859-361-0460",
            "fax_number": "859-276-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033019",
            "telephone_number": "859-278-1814",
            "fax_number": "859-276-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENSMITH",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.