Individual provider Active NPI

Jennifer Waugh, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1912603994
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5031 Issued in HI
Practice address
161 Prosperous PL
Lexington, KY 40509-1898
Phone
(502) 475-4082
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 LCSW-5031 HI Primary
Clinical Social Worker 1041C0700X 257103 KY

Addresses

Primary practice location

161 Prosperous PL
Lexington, KY 40509-1898

Mailing address

161 Prosperous PL
Lexington, KY 40509-1898
Phone (502) 475-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230316000232 KY Practitioner - Clinical Social Worker 4880068790 Reassigns benefits to 1 organization
I20241028000985 HI Practitioner - Clinical Social Worker 4880068790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068

1030 Monarch St
Suite 100
Lexington, KY 40513-1820
Phone (844) 468-5050

120 Prosperous PL
Suite 201
Lexington, KY 40509-1866
Phone (216) 468-5000

500 Ala Moana Blvd
Suite 7400
Honolulu, HI 96813-4902
Phone (617) 823-6490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
257103KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 24, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Apr 1, 2023 Accepting new patients

Locations

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

161 Prosperous Pl
Ste 100
Lexington, KY 40509
Phone (859) 214-7440

120 Prosperous Pl
Ste 201
Lexington, KY 40509
Phone (859) 368-0609

120 Prosperous Pl
Ste 150
Lexington, KY 40509
Phone (859) 214-7440

161 Prosperous Pl
Lexington, KY 40509
Phone (844) 468-5050

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1912603994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 PROSPEROUS PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091898",
            "telephone_number": "502-475-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 PROSPEROUS PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091898",
            "telephone_number": "502-475-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5031",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.