Individual provider Active NPI

Elizabeth Cheyenne Woodall, CSW

  • Clinical Social Worker
  • Nicholasville, KY
National Provider Identifier
1962949735
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259110 Issued in KY
Practice address
324 Southview Dr
Nicholasville, KY 40356-2008
Phone
(859) 885-6315
Fax
(859) 887-1886
NPI assigned
Jan 31, 2017
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 259110 KY Primary

Addresses

Primary practice location

324 Southview Dr
Nicholasville, KY 40356-2008

Mailing address

324 Southview Dr
Nicholasville, KY 40356-2008
Phone (859) 885-6315

Other names 1

  • Elizabeth Cheyenne Hensley Former name

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
259110KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1962949735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SOUTHVIEW DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562008",
            "telephone_number": "859-885-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SOUTHVIEW DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562008",
            "telephone_number": "859-885-6315",
            "fax_number": "859-887-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "ELIZABETH",
        "middle_name": "CHEYENNE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HENSLEY",
            "middle_name": "CHEYENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.