Hope Hendrix
Individual provider Active NPI Clinical Social Worker · Vine Grove, KY
NPI 1821555046 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1821555046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 254667 (KY)
- Practice address
- 167 Cambridge CT
Vine Grove, KY 40175-6185 - Phone
- (270) 312-2103
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220923001091 | KY | Practitioner - Clinical Social Worker | 5193100329 | Practice locations: Vine Grove, KY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007836 | GA | MD | Clinical Social Worker |
| 254667 | KY | MD | Clinical Social Worker |
Interoperability endpoints
- hhendrix@pathwaystp.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW007836 | GA | |
| Clinical Social Worker | 1041C0700X | 254667 | KY | Yes |
Addresses
Primary practice location
167 Cambridge CT
Vine Grove, KY 40175-6185
Mailing address
167 Cambridge CT
Vine Grove, KY 40175-6185
Phone (270) 312-2103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MSW007836 | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HHENDRIX@PATHWAYSTP.COM | ||
| Direct Messaging Address | hhendrix@peacephc.com |
Other providers in Vine Grove, KY
- First Words Speech Therapy LLC
- Robin Michele Flowers
- Rachael Goff
- Good Life Advocates, LLC
- Alyssa Hack
- Christine Ellen Renee Horner
- Ashley Anne Hulsman Gaither
- Inclusive Therapy Services LLC
- J. Mason & Associates
- Karen S. Keene
All providers in Vine Grove, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.