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MRS. AUDREA BERRONES LCSW
NPI 1881964633
Social Worker - Clinical in Lexington, KY

Active since January 11, 2012PECOS EnrolledAccepts Medicare Assignment
218 MANDALAY RD, LEXINGTON, KY 40504(859) 288-2425(859) 721-3918 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2019, Aug 15, 2017 (2 updates tracked since 2017).

About Mrs. Audrea Berrones Lcsw NPPES

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

MRS. AUDREA BERRONES LCSW (NPI 1881964633) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (3905) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1881964633
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AUDREA BERRONESCredential: LCSW
Location Address218 MANDALAY RDLexington, KY 40504
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2392 · Fax (859) 721-3918
Phone(859) 288-2425
Fax(859) 721-3918
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 11, 2012
Last NPPES UpdateMay 23, 20192 updates tracked since enumeration
✔ NPI 1881964633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 3905✔ Licensed in KY · 6249
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.
218 MANDALAY RD, Lexington, KY 40504
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Other Identifiers 1

Medicaid270795565KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Audrea Berrones Lcsw 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 ID4587916986
PECOS Enrollment IDI20181012002007
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 40504 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 4

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

HEALTHFIRST BLUEGRASS INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
218 MANDALAY RD
LEXINGTON, KY 40504
Fayette County (859) 288-2425
MRS. RHONDA KAYE HILER APRN
Nurse Practitioner (Pediatrics)
218 MANDALAY RD
LEXINGTON, KY 40504
Fayette County (859) 288-2425
LELA CHAFFIN CSW
Social Worker
218 MANDALAY RD
LEXINGTON, KY 40504
Fayette County (859) 288-2425
EDER SOSA MENDEZ CSW
Social Worker
218 MANDALAY RD
LEXINGTON, KY 40504
Fayette County (859) 288-2425

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 Audrea Berrones's NPI number?

The NPI number for Audrea Berrones is 1881964633. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Audrea Berrones located?

Audrea Berrones practices at 218 Mandalay Rd, Lexington, KY 40504. The listed phone number is (859) 288-2425.

What is Audrea Berrones's specialty?

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

Is Audrea Berrones enrolled in Medicare?

Yes. Audrea Berrones 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.

What insurance does Audrea Berrones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Audrea Berrones 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 Audrea Berrones was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.