CONNIE ANTLE (LCSW) – Clinical Social Worker, NPI 1295754067

CONNIE ANTLE (LCSW) is a healthcare provider. based in Somerset, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 3990 (KY). The NPI Number for CONNIE ANTLE (LCSW) is 1295754067

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE ANTLE (LCSW)
NPI
1295754067
Phone
(606) 679-4782
Address
130 SOUTHERN SCHOOL RD
Enumeration Date
19 July 2006
Last Update Date
3 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2703844719
Graduation Year
2004 (22 years ago)
PAC ID
5597902775
Group Practice PAC ID
3375536717
Professional Enrollment ID
I20130507000345
Address ID
KY427281915CO200XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

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Provider Addresses for CONNIE ANTLE (LCSW)

  • 130 SOUTHERN SCHOOL RD

    SOMERSET, KY 425013223

    Phone: (606) 679-4782

    Fax: (606) 678-5296

    Type: Mailing

  • 521, Old Hodgenville Road, Greensburg, Green County, Kentucky, 42743, United States

    GREENSBURG, KY 427439493

    Phone: (270) 932-3226

    Fax: (270) 932-5328

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130507000345IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10027$0
90832Psychotherapy, 30 minutes6425$0
View full utilization report →

Insurance plans in this area (ZIP 42501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375536717View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
-KY
Clinical Social WorkerKY
Mental Health CounselorKY
Clinical Social WorkerIN
Clinical Social WorkerKY
Mental Health CounselorKY

Reviews

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Frequently asked questions

What number should I use to identify CONNIE ANTLE (LCSW) for billing?
Administrative and clinical systems typically use NPI 1295754067 for CONNIE ANTLE (LCSW).
Quick check: is CONNIE ANTLE (LCSW) active?
Public NPPES data shows CONNIE ANTLE (LCSW) with an active NPI status right now.
Which specialty label fits CONNIE ANTLE (LCSW)?
NPPES ties CONNIE ANTLE (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CONNIE ANTLE (LCSW)?
CONNIE ANTLE (LCSW) shows a connection to Somerset, Kentucky in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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