Active NPI
Nakeisha Brooke Wilson, LCSW
- Clinical Social Worker
- Glasgow, KY
National Provider Identifier
1841027364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 259329
- Practice address
- 507 Trojan Trail
Glasgow, KY 42141-2214 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- 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 | 259329 | KY | Primary |
Addresses
Primary practice location
507 Trojan Trail
Glasgow, KY 42141-2214
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 586-6558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16310502 | Other | KY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
507 Trojan Trl
Glasgow, KY 42141
Phone (270) 651-6315
Organizations & group practices 2
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 Cumberland Family Medical Center
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
-
dba Russell Family Medical Center
- Federally Qualified Health Center (FQHC)
- Russell Springs, KY
- NPI 1437483815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1841027364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-586-6558",
"fax_number": "270-858-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 TROJAN TRAIL",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421412214",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NAKEISHA",
"middle_name": "BROOKE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "259329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16310502",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.