Individual provider Active NPI

Destiny Conn, LCSW

  • Clinical Social Worker
  • Pikeville, KY
National Provider Identifier
1831975622
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258247 Issued in KY
Practice address
255 Church St Ste 102
Pikeville, KY 41501-3476
Phone
(606) 637-2273
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 258247 KY Primary

Addresses

Primary practice location

255 Church St Ste 102
Pikeville, KY 41501-3476

Mailing address

475 Woodland HLS
Prestonsburg, KY 41653-9058
Phone (606) 454-1324

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
I20240223003733 KY Practitioner - Clinical Social Worker 1456632066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

255 Church St
Suite 102
Pikeville, KY 41501-3476
Phone (606) 637-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258247KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hager and Associates PSC CurrentSince Oct 1, 2024 Accepting new patients
J & J Diagnostics Current Accepting new patients
Crossroads Addiction Recovery Effort, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

255 Church St
Ste 101
Pikeville, KY 41501
Phone (606) 260-8613

484 Tollage Crk
Pikeville, KY 41501
Phone (606) 230-2255

255 Church St
Ste 102B
Pikeville, KY 41501
Phone (606) 218-6011

255 Church St
Ste 103
Pikeville, KY 41501
Phone (606) 218-6011

255 Church St
Ste 102
Pikeville, KY 41501
Phone (606) 432-5800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1831975622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WOODLAND HLS",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539058",
            "telephone_number": "606-454-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST STE 102",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-637-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "DESTINY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.