Individual provider Active NPI

Jennifer Nicole Lee-Woods, MSW

  • Clinical Social Worker
  • Corbin, KY
National Provider Identifier
1912256967
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4026 Issued in KY
Practice address
192 Bacon Creek Rd
Corbin, KY 40701-8639
Phone
(606) 526-1900
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08202012 KY
Social Worker 104100000X 4026 KY
Clinical Social Worker 1041C0700X 4026 KY Primary

Addresses

Primary practice location

192 Bacon Creek Rd
Corbin, KY 40701-8639

Mailing address

PO Box 568
Corbin, KY 40702-0568

Other practice location 1

1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Phone (606) 528-5527

Other identifiers 1

IdentifierTypeStateIssuer
7100331600MedicaidKY

Other names 1

  • Jennifer Nicole Lee Former name

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
I20150430002411 KY Practitioner - Clinical Social Worker 0143549857 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08202012KYMDSocial Worker
4026KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC Clinical CurrentSince Apr 15, 2021 Accepting new patients
Ho Medical & Chiropractic Corporation CurrentSince Apr 1, 2025 Accepting new patients
Health Solutions LLC Past Accepting new patients

Locations

37 Southpark Center Dr
Ste 7
Corbin, KY 40701

192 Bacon Creek Rd
Corbin, KY 40701
Phone (606) 526-1900

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

65 N Highway 25 W
Williamsburg, KY 40769
Phone (606) 549-0123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1912256967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BACON CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018639",
            "telephone_number": "606-526-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Cumberland Falls Hwy Ste D141",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012796",
            "country_code": "US",
            "telephone_number": "606-528-5527",
            "fax_number": "606-526-9687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-WOODS",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "08202012",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "4026",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100331600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEE",
            "middle_name": "NICOLE",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.