Active NPI
Cherry Brooke Kincheloe
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1891464913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255113
- Practice address
- 1031 Wellington Way Ste 265
Lexington, KY 40513-1256 - Phone
- (859) 229-8222
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 255113 | KY | Primary |
Addresses
Primary practice location
1031 Wellington Way Ste 265
Lexington, KY 40513-1256
Mailing address
633 Beth LN
Lexington, KY 40503-3416
Phone (502) 594-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255113 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1891464913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 BETH LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033416",
"telephone_number": "502-594-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 WELLINGTON WAY STE 265",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131256",
"telephone_number": "859-229-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCHELOE",
"first_name": "CHERRY",
"middle_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Ashley Renee Kimble, PTA
- Lillian Gale Kincade, ARNP
- Raleigh Kincaid, LMFT
- Shannon Nicole Kincaid, APRN FNP-BC
- Tracy Labrina Kincer-Howard, CCC-SLP
- Gretchen Eileen Kinchen, DMD
- Jennifer Kinder, PH.D.
- Renee Brown Kinder, MS CCC-SLP, RAC-CT
- Taylor Kinder, MSN, APRN, FNP-C
- Justin Keith Kindler, D.D.S., M.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.