MS. CAROL M O'BRIEN CSW, MSW
NPI 1902195225
Social Worker in Lexington, KY

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
1351 NEWTOWN PIKE, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Carol M O'brien Csw, Msw NPPES

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

MS. CAROL M O'BRIEN CSW, MSW (NPI 1902195225) is an individual social worker in Lexington, Kentucky, licensed in (4720) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902195225
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. CAROL M O'BRIENCredential: CSW, MSW
Location Address1351 NEWTOWN PIKELexington, KY 40511-1275
Mailing Address1351 Newtown PikeLexington, KY 40511-1275 · (859) 253-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 7, 2011
✔ NPI 1902195225 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 · 4720
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, Lexington, KY 40511

Other Identifiers 1

Medicaid1790731081KY

Accepted 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

Ms. Carol M O'brien Csw, Msw 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 ID8325285216
PECOS Enrollment IDI20130514000142
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 Reassignment

Medicare enrollment records show Carol O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1351 NEWTOWN PIKE, BLDG 5
Lexington, KY 40511
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group

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

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.

Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Counselor (Professional)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511

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 Carol O'brien's NPI number?

The NPI number for Carol O'brien is 1902195225. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Carol O'brien located?

Carol O'brien practices at 1351 Newtown Pike, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Carol O'brien's specialty?

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

Is Carol O'brien enrolled in Medicare?

Yes. Carol O'brien 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 organization bills Medicare for Carol O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol O'brien reassigns Medicare benefits to New Vista Of The Bluegrass (Lexington, KY). The 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 Carol O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield list Carol O'brien 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 Carol O'brien was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.