Individual provider Active NPI

Anna Patton, MSW, LCSW

  • Clinical Social Worker
  • Crestview Hills, KY
National Provider Identifier
1972923480
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254636 Issued in KY
Practice address
328 Thomas More Parkway #102
Crestview Hills, KY 41017-3488
Phone
(859) 431-6333
Fax
(859) 341-0310
NPI assigned
Apr 23, 2014
Last updated
Nov 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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 254636 KY Primary

Addresses

Primary practice location

328 Thomas More Parkway #102
Crestview Hills, KY 41017-3488

Mailing address

328 Thomas More Parkway #102
Crestview Hills, KY 41017-3488
Phone (859) 431-6333

Other names 1

  • Anna Patton-Lingeman 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
I20200310000861 KY Practitioner - Clinical Social Worker 5597193318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254636KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Maddy, LLC Clinical CurrentSince Feb 24, 2020 Accepting new patients

Locations

328 Thomas More Pkwy
Ste 102
Crestview Hills, KY 41017
Phone (859) 431-6333

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1972923480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PARKWAY #102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "859-431-6333",
            "fax_number": "859-341-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PARKWAY #102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "859-431-6333",
            "fax_number": "859-341-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PATTON-LINGEMAN",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.