Individual provider Active NPI

Donna Priddy, LCSW

  • Clinical Social Worker
  • Booneville, KY
National Provider Identifier
1841861978
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258530 Issued in KY
Practice address
826 Ky 11 N
Booneville, KY 41314-9155
Phone
(606) 593-6395
Fax
(606) 593-5916
NPI assigned
Jul 9, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 258530 KY Primary

Addresses

Primary practice location

826 Ky 11 N
Booneville, KY 41314-9155

Mailing address

PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823

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
I20231204001485 KY Practitioner - Clinical Social Worker 5890143788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

72 Buckhorn Clinic Rd
Buckhorn, KY 41721-8936
Phone (606) 398-7141

826 Ky Hwy 11 N
Booneville, KY 41314
Phone (606) 593-6395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258530KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Nov 20, 2023 Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Nov 20, 2023 Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients

Locations

826 Ky 11 N
Booneville, KY 41314
Phone (606) 593-6395

72 Buckhorn Clinic Rd
Buckhorn, KY 41721
Phone (606) 398-7141

Interoperability endpoints

  • Direct secure messaging: donna.kirby.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 4

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1841861978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580040",
            "telephone_number": "606-633-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 KY 11 N",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413149155",
            "telephone_number": "606-593-6395",
            "fax_number": "606-593-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDY",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, KY

Sources for this page

Verify at the official NPI Registry.