Individual provider Active NPI

Sadonna Mikayla McCoy, LCSW

  • Clinical Social Worker
  • Ashland, KY
National Provider Identifier
1902775166
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001216 Issued in KY
Practice address
835 Central Ave
Ashland, KY 41101-7423
Phone
(606) 547-4400
Fax
(606) 547-4180
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 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 LCSW00001216 KY Primary

Addresses

Primary practice location

835 Central Ave
Ashland, KY 41101-7423

Mailing address

18536 Cherrywood Dr
Catlettsburg, KY 41129-8115
Phone (606) 928-6648

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
I20251124003274 KY Practitioner - Clinical Social Worker 6204328578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2901 Pigeon Roost Rd
Rush, KY 41168-8132

835 Central Ave
Ashland, KY 41101-7423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001216KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey-Estep Homes, Inc CurrentSince Oct 27, 2025 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince Oct 27, 2025 Accepting new patients

Locations

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1902775166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18536 CHERRYWOOD DR",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411298115",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017423",
            "telephone_number": "606-547-4400",
            "fax_number": "606-547-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SADONNA",
        "middle_name": "MIKAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.