Healthcare Provider Details

I. General information

NPI: 1053241620
Provider Name (Legal Business Name): KAYLIE PADGETT MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 W IRVINE ST
RICHMOND KY
40475-1438
US

IV. Provider business mailing address

210 N BROADWAY ST APT 11
BEREA KY
40403-2212
US

V. Phone/Fax

Practice location:
  • Phone: 502-783-7573
  • Fax: 844-822-8194
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001469
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: