Individual provider Active NPI

Susan J Barnett, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1841542453
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3695 Issued in KY
Practice address
558 E 10TH Ave
Bowling Green, KY 42101-2252
Phone
(270) 904-0768
Fax
(270) 904-0655
NPI assigned
Oct 5, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 3695 KY Primary

Addresses

Primary practice location

558 E 10TH Ave
Bowling Green, KY 42101-2252

Mailing address

558 E 10TH Ave
Bowling Green, KY 42101-2252
Phone (270) 904-0768

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
I20130226000020 KY Practitioner - Clinical Social Worker 2567617426 Practice locations: Bowling Green, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

730 Fairview Ave
Suite B1
Bowling Green, KY 42101-2365
Phone (270) 904-0768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3695KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barnett Counseling, Inc. Clinical CurrentSince Oct 20, 2024 Accepting new patients
MNT, Inc. CurrentSince Aug 1, 2020 Accepting new patients

Locations

1911B Scottsville Rd
Bowling Green, KY 42104
Phone (270) 746-0283

558 E 10th Ave
Bowling Green, KY 42101
Phone (270) 904-0768

730 Fairview Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 781-3321

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.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1841542453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012252",
            "telephone_number": "270-904-0768",
            "fax_number": "270-904-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012252",
            "telephone_number": "270-904-0768",
            "fax_number": "270-904-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.