Individual provider Active NPI

Garla Kathleen Hart, LCSW

  • Clinical Social Worker
  • Morehead, KY
National Provider Identifier
1891262325
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254502 Issued in KY
Practice address
500 Hecks Plaza
Morehead, KY 40351
Phone
(859) 209-2361
NPI assigned
Nov 2, 2018
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252615 KY
Clinical Social Worker 1041C0700X 254502 KY Primary

Addresses

Primary practice location

500 Hecks Plaza
Morehead, KY 40351

Mailing address

505 Hecks Plaza Dr
Morehead, KY 40351-8423
Phone (859) 209-2361

Other practice location 1

784 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190

Other identifiers 1

IdentifierTypeStateIssuer
7100797290MedicaidKY

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
I20220930002178 KY Practitioner - Clinical Social Worker 7810381886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians

Practice addresses (Care Compare)

17 Miller Dr
Owingsville, KY 40360-2212
Phone (606) 674-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252615KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Clinic PLLC CurrentSince Mar 1, 2022 Accepting new patients
Community Family Clinic PLLC Current Accepting new patients
Community Family Clinic PLLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

784 Highway 36
Frenchburg, KY 40322
Phone (606) 768-9190

125 Foxglove Dr
Ste D
Mt Sterling, KY 40353
Phone (859) 498-3333

17 Miller Dr
Owingsville, KY 40360
Phone (606) 674-3033

Organizations & group practices 3

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1891262325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HECKS PLAZA DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518423",
            "telephone_number": "859-209-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HECKS PLAZA",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "859-209-2361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "403228123",
            "country_code": "US",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "GARLA",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100797290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.