Donna Priddy, LCSW
Individual provider Active NPI Clinical Social Worker · Booneville, KY
NPI 1841861978 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1841861978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 258530 (KY)
- Practice address
- 826 Ky 11 N
Booneville, KY 41314-9155 - Phone
- (606) 593-6395
- Fax
- (606) 593-5916
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- 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
- Mountain Comprehensive Health Corporation
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
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 |
|---|---|---|---|---|
| I20231204001485 | KY | Practitioner - Clinical Social Worker | 5890143788 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258530 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Health Corporation | Current |
Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | 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
- donna.kirby.p1@direct.mtncomp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 258530 | KY | Yes |
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
Other providers in Booneville, KY
- Mountain Physical Therapy, PLLC
- Jessica Neace
- Owsley County Board of Education
- Owsley County Health Care Center, Inc.
- Charles Michael Patrick Jr.
- Public Drug Company Inc
- Public Drug Company Inc
- Barbara Faye Roberts
- Sugar Camp House Adult Day Health Care
- Derek Chase Thompson
All providers in Booneville, 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 29, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.