Active NPI
Kyra McCormill, MSSW, CSW
- Social Worker
- Florence, KY
National Provider Identifier
1972713261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- KY-4765
- Practice address
- 7711 Ewing Blvd
Florence, KY 41042-7533 - Phone
- (859) 282-4486
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | KY-4765 | KY | Primary |
Addresses
Primary practice location
7711 Ewing Blvd
Florence, KY 41042-7533
Mailing address
7711 Ewing Blvd
Florence, KY 41042-7533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-4765 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1972713261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 EWING BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410427533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 EWING BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410427533",
"telephone_number": "859-282-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMILL",
"first_name": "KYRA",
"credential": "MSSW, CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "KY-4765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.