ASHLEY NICOLE PETTIT (LCSW) – Clinical Social Worker, NPI 1730615691

ASHLEY NICOLE PETTIT (LCSW) is a healthcare provider. based in Versailles, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 252036 (KY). The NPI Number for ASHLEY NICOLE PETTIT (LCSW) is 1730615691

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY NICOLE PETTIT (LCSW)
NPI
1730615691
Phone
(859) 873-9277
Address
4185 Lexington Rd
Enumeration Date
11 May 2017
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593230303
Graduation Year
2016 (10 years ago)
PAC ID
1153782313
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20230803002937
Address ID
KY405360000LE830XXLIME300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for ASHLEY NICOLE PETTIT (LCSW)

  • 4185 Lexington Rd

    Versailles, KY 403831736

    Phone: (859) 873-9277

    Fax: (859) 873-9280

    Type: Location

  • Lexington Road, Versailles, Woodford County, Kentucky, 40383, United States

    VERSAILLES, KY 403831736

    Phone: (859) 873-9277

    Fax: (859) 873-9280

    Type: Location

  • 830 S LIMESTONE STE 304

    LEXINGTON, KY 405361736

    Phone: (859) 323-0303

    Fax: (859) 323-1200

    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: 2023-08-03

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
I20230803002937IClinical 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 40383)

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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: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

What is the registry number for ASHLEY NICOLE PETTIT (LCSW)?
The registry entry for ASHLEY NICOLE PETTIT (LCSW) shows NPI 1730615691.
Should I treat ASHLEY NICOLE PETTIT (LCSW) as an active provider?
Patients and plans typically see ASHLEY NICOLE PETTIT (LCSW) as active in the national extract.
What type of care does ASHLEY NICOLE PETTIT (LCSW) provide?
ASHLEY NICOLE PETTIT (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is ASHLEY NICOLE PETTIT (LCSW) tied to Versailles, Kentucky?
If you are local to Versailles, Kentucky, ASHLEY NICOLE PETTIT (LCSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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