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THERESA HOCKENSMITH
NPI 1821404443
Social Worker - Clinical in Lexington, KY

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
200 W LOWRY LN, LEXINGTON, KY 40503(859) 278-1814(859) 276-5206 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 15, 2017, Feb 17, 2017 (3 updates tracked since 2017).

About Theresa Hockensmith NPPES

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

THERESA HOCKENSMITH (NPI 1821404443) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (252453) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1821404443
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA HOCKENSMITH
Location Address200 W LOWRY LNLexington, KY 40503-3019
Mailing Address134 Hall StHazard, KY 41701-1332 · (859) 361-0460 · Fax (859) 276-5206
Phone(859) 278-1814
Fax(859) 276-5206
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 2, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1821404443 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 · 252453
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.
200 W LOWRY LN, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Hockensmith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961786595
PECOS Enrollment IDI20170228000274
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 Billing Reassignments

3

Medicare enrollment records show Theresa Hockensmith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Associates
37 mi
Rural Health
321C E COLLEGE AVE
Stanton, KY 40380
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1013954510 (606) 663-9797
Aaron K. Jonan Memorial Clinic Inc.
76 mi
Rural Health
832 HIGHWAY 15 N
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1477569226 (606) 666-5142
Salyersville Medical Center, LLC
82 mi
Rural Health
268 E MAPLE ST
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1215984711 (606) 349-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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 3

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

LEONARD A CLARK LCSW PSC
Clinic/Center (Adult Mental Health)
200 W LOWRY LN
LEXINGTON, KY 40503
Fayette County (859) 229-8160
LEONARD A CLARK LCSW
Social Worker (Clinical)
200 W LOWRY LN
LEXINGTON, KY 40503
Fayette County (859) 229-8160
THERESA HOCKENSMITH, PLLC
Social Worker (Clinical)
200 W LOWRY LN
LEXINGTON, KY 40503
Fayette County (859) 278-1814

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 Theresa Hockensmith's NPI number?

The NPI number for Theresa Hockensmith is 1821404443. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Theresa Hockensmith located?

Theresa Hockensmith practices at 200 W Lowry Ln, Lexington, KY 40503. The listed phone number is (859) 278-1814.

What is Theresa Hockensmith's specialty?

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

Is Theresa Hockensmith enrolled in Medicare?

Yes. Theresa Hockensmith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Hockensmith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Hockensmith reassigns Medicare benefits to 3 organizations: Pediatric Associates (Stanton, KY), Aaron K. Jonan Memorial Clinic Inc. (Jackson, KY) and Salyersville Medical Center, LLC (Salyersville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Hockensmith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Hockensmith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Theresa Hockensmith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Hockensmith was last updated on July 21, 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.