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DESTINY COMMODORE LCSW
NPI 1811531635
Social Worker in Lexington, KY

Active since November 05, 2019PECOS Enrolled
60.28/100
CMS Quality Rating
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Destiny Commodore Lcsw NPPES

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

DESTINY COMMODORE LCSW (NPI 1811531635) is an individual social worker in Lexington, Kentucky, licensed in Kentucky (254489) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811531635
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDESTINY COMMODORECredential: LCSW
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277
Phone(859) 253-1686
Sole ProprietorNo
Enumeration DateNovember 5, 2019
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1811531635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in KY · 254489
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511
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Other Identifiers 1

Medicaid1790731081KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Commodore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 20

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

MONICA KLAMPE
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
TIFFANY MORGAN JOHNSON
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (589) 253-1686
ERIN MARIE PATRICK CSW
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
SCOTT HOPKINS
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MIKAYLA DOUGALL
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
KACEY ALCORN
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MRS. ERICA HAYLEY FERGUSON BSW, TCADC, MSW
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
ASHLEY NICOLE BOWLING BA
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686

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 Destiny Commodore's NPI number?

The NPI number for Destiny Commodore is 1811531635. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Destiny Commodore located?

Destiny Commodore practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Destiny Commodore's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Destiny Commodore enrolled in Medicare?

Yes. Destiny Commodore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destiny Commodore was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.