Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811531635 Individual Practitioner Female Practitioner

Destiny Commodore , LCSW

Social Worker • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Destiny Commodore, LCSW is a registered healthcare professional specializing in Social Worker in Lexington, KY. Practice services are available at 1351 NEWTOWN PIKE BLDG 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1351 Newtown Pike Bldg 1

Lexington, KY 405111277

Telephone 8592531686
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
385 Specialists

Practicing in Lexington, KY (1570 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License KY 254489

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1790731081 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarah Ford

Counselor - Mental Health

NPI 1003103995
Monica Klampe

Community Health Worker

NPI 1003130170
Michael Stratton

Counselor - Mental Health

NPI 1003188723
NPI 1003194648

Licensed Clinical Social Worker

Teonna Wilson

Counselor - Mental Health

NPI 1003348319
Holly Dickison

Social Worker

NPI 1003405333

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 14, 2022

Recorded as DESTINY COMMODORE, LCSW

NPI Profile Active November 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2019

Registered at 1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 405111277 (Tel: 8592531686)

📍
Updated Business Mailing Address November 05, 2019

Registered at 1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 405111277

👤
Provider Name / Credentials Updated November 05, 2019

Recorded as DESTINY COMMODORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Social Worker (License #254489 in KY)

🟢
Initial NPI Registration & Enumeration November 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Destiny Commodore. Be the first to share your experience!

Sign in to leave a review for Destiny Commodore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811531635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2019
Last Update: June 14, 2022
Sole Proprietor: No

Mailing Address

1351 Newtown Pike Bldg 1

Lexington, KY 405111277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.