Look up the most recent NPI and PECOS records

Whitney Vincent

Social Worker

Behavioral Health & Social Service Providers

109 S Spring St, Louisville, KY 40206-1952

PECOS Enrollment

Based on the most recent information from CMS, provider Whitney Vincent is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1548907967
Provider Type
Individual
Full Name
Vincent, Whitney
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/17/2022
Last Updated
1/19/2023

Contact Information

Practice Location

109 S Spring St, Louisville, KY 40206-1952

(502) 338-0747

Unlisted Fax

Mailing Location

109 S Spring St, Louisville, KY 40206-1952

(502) 338-0747

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 256789 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 7100871000	Description Medicaid	Issuer Unlisted Kentucky

Whitney Vincent

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Stivers, Cristy Machelle

Walls, Jillian

Feltner, Christina Ann

Swetnam, Joshua Eric

Nelson, Christopher Byron

Dawson, Ashley Lindsey

Hohenstern, Kathrin M

Adams, Logan Blake

Torres-Ruiz, Mayra Alejandra

Ades, Cheryl Rose