CAROLYN L IVERSON (LCSW) – Clinical Social Worker, NPI 1467121020

CAROLYN L IVERSON (LCSW) is a healthcare provider. based in Burkesville, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 258227 (KY). The NPI Number for CAROLYN L IVERSON (LCSW) is 1467121020

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN L IVERSON (LCSW)
NPI
1467121020
Phone
(270) 858-6655
Address
PO BOX 1080
Enumeration Date
8 September 2021
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708663161
Graduation Year
2016 (10 years ago)
PAC ID
9234583642
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20231003002316
Address ID
KY426424622RU404XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for CAROLYN L IVERSON (LCSW)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4027

    Type: Mailing

  • 404 STEVE DR

    RUSSELL SPRINGS, KY 42642

    Phone: (270) 866-3161

    Fax: (270) 866-3163

    Type: Location

  • 1351 NEWTOWN PIKE BLDG 1

    LEXINGTON, KY 405111277

    Phone: (859) 253-1277

    Type: Mailing

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: 2023-10-03

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
I20231003002316IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42717)

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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: 6305947789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Certified Nurse Midwife (Cnm)KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does CAROLYN L IVERSON (LCSW) have a public NPI I can cite?
Public records show CAROLYN L IVERSON (LCSW) under NPI 1467121020.
Does the public listing show CAROLYN L IVERSON (LCSW) as active?
CAROLYN L IVERSON (LCSW)'s NPI record reflects an active status in NPPES.
What type of care does CAROLYN L IVERSON (LCSW) provide?
CAROLYN L IVERSON (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to CAROLYN L IVERSON (LCSW)?
The directory associates CAROLYN L IVERSON (LCSW) with Burkesville, Kentucky. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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