MEDICARE: NEW NORMAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205516812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW NORMAL

Provider Business Mailing Address
First Line	:	269 ABBEY RD
Second Line	:
City	:	VERSAILLES
State	:	KY
Zip	:	40383-8063
Country	:	US
Telephone Number	:	502-680-1932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 DOVE RUN RD STE 215
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40502-3536
Country	:	US
Telephone Number	:	502-680-1932
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE E NICOLOSI
Credential	:	LCSW
Telephone Number	:	502-680-1932

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	02/04/2026

Similar Medicare Providers

1689807406 — CHRISTINE E NICOLOSI LCSW
Practice Location Address:

1055 DOVE RUN RD STE 215
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40502-3536

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Practice Fax:

1396724092 — NORTH LEXINGTON URGENT TREATMENT ASSOCIATES PSC
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1881659472 — RIA E EUGENIO MD
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1104873108 — MARTIN JOSEPH MANGAN III MD
Practice Location Address:

1055 DOVE RUN RD , SUITE 200
LEXINGTON, KY
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1417982299 — DONNA YANCEY FARMER M.D.
Practice Location Address:

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1457463911 — KIRSTEN K BRADFORD SHARP PA-C
Practice Location Address:

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Directions to “NEW NORMAL ” Practice Location

Language	Start Address	Practice Location

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