Individual provider Active NPI

Mara Elizabeth Whalen, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1871232942
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256833 Issued in KY
Practice address
728 Faulkner Ave
Lexington, KY 40505-1800
Phone
(859) 559-6759
NPI assigned
May 27, 2022
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 256833 KY Primary

Addresses

Primary practice location

728 Faulkner Ave
Lexington, KY 40505-1800

Mailing address

1106 Tunnel Hill Rd Ste 100
Elizabethtown, KY 42701-8026
Phone (270) 765-2335

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
I20241115003724 KY Practitioner - Clinical Social Worker 0345774048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Step Counseling Services, LLCGroup PAC ID 5698043040, 3 clinicians

Practice addresses (Care Compare)

1106 Tunnel Hill Rd
Suite 100
Elizabethtown, KY 42701-8026
Phone (270) 765-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Counseling Services, LLC Clinical CurrentSince Jan 30, 2024 Accepting new patients

Locations

1106 Tunnel Hill Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 675-2335

2285 Executive Dr
Ste 420
Lexington, KY 40505

Organizations & group practices 1

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1871232942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 TUNNEL HILL RD STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018026",
            "telephone_number": "270-765-2335",
            "fax_number": "270-765-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 FAULKNER AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051800",
            "telephone_number": "859-559-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "MARA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.