LAUREN MICKAELA RUNYON LCSW
NPI 1619858289
Social Worker - Clinical in Independence, KY

Active since September 10, 2025PECOS Enrolled
11777 MANOR LAKE DR, INDEPENDENCE, KY 41051(859) 587-2995 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauren Mickaela Runyon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN MICKAELA RUNYON LCSW (NPI 1619858289) is an individual clinical provider in Independence, Kentucky, licensed in Kentucky (LCSW00001126) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619858289
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAUREN MICKAELA RUNYONCredential: LCSW
Location Address11777 MANOR LAKE DRIndependence, KY 41051-9716
Mailing Address11777 Manor Lake DrIndependence, KY 41051-9716 · (859) 587-2995
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1619858289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · LCSW00001126
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11777 MANOR LAKE DR, Independence, KY 41051

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Mickaela Runyon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789173816
PECOS Enrollment IDI20251212001942
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11777 MANOR LAKE DR
INDEPENDENCE, KY 41051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Runyon's NPI number?

The NPI number for Lauren Runyon is 1619858289. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Lauren Runyon located?

Lauren Runyon practices at 11777 Manor Lake Dr, Independence, KY 41051. The listed phone number is (859) 587-2995.

What is Lauren Runyon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lauren Runyon enrolled in Medicare?

Yes. Lauren Runyon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Runyon was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.