Individual provider Active NPI

Asyia Hall, LCSW

  • Clinical Social Worker
  • Bardstown, KY
National Provider Identifier
1962252239
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259309 Issued in KY
Practice address
970 Bloomfield Rd
Bardstown, KY 40004-9708
Phone
(270) 207-9310
NPI assigned
Mar 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 255860 KY
Clinical Social Worker 1041C0700X 259309 KY Primary

Addresses

Primary practice location

970 Bloomfield Rd
Bardstown, KY 40004-9708

Mailing address

1626 W Crocus Dr
Radcliff, KY 40160-1975
Phone (502) 601-2151

Other practice location 1

298 Medley Court
Vine Grove, KY 40175-8421
Phone (270) 352-1133

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

LicenseStateTypeSpecialty
255860KYMDClinical Social Worker
259309KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Early Intervention and Consultation Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1962252239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W CROCUS DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601975",
            "telephone_number": "502-601-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049708",
            "telephone_number": "270-207-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Medley Court",
            "address_purpose": "LOCATION",
            "city": "Vine Grove",
            "state": "KY",
            "postal_code": "401758421",
            "country_code": "US",
            "telephone_number": "270-352-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ASYIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255860",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.