| Clara Mitchell, | |
|
2250 Leestown Rd, Lexington, KY 40511-1052 | |
| (859) 233-4511 | |
| Not Available |
| Full Name | Clara Mitchell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2250 Leestown Rd, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578032520 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 255164 (Kentucky) | Primary |
| Entity Name | New Vista Of The Bluegrass Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
| Entity Name | Family Practice Clinic Of Booneville, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326152109 PECOS PAC ID: 6406764612 Enrollment ID: O20040327000248 |
| Entity Name | Mountain Family Practice Clinic Of Manchester Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689919078 PECOS PAC ID: 0143465617 Enrollment ID: O20130404000306 |
| Entity Name | Cleanslate Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538600630 PECOS PAC ID: 4486909769 Enrollment ID: O20180611002156 |
| Entity Name | Hartoria Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467918201 PECOS PAC ID: 9638501380 Enrollment ID: O20200922000534 |
| Entity Name | Kentucky Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609448059 PECOS PAC ID: 1254716780 Enrollment ID: O20220919002454 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Mitchell, 2250 Leestown Rd, Lexington, KY 40511-1052 Ph: (859) 233-4511 | Clara Mitchell, 2250 Leestown Rd, Lexington, KY 40511-1052 Ph: (859) 233-4511 |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 | |
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939 |