Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernetta Southwood, LCSW

Individual provider Clinical Social Worker · NPI 1164833034

Bernetta Southwood, LCSW is a Clinical Social Worker in Jackson, Kentucky. Qualified in 2010, 16 years ago. Practices with Kentucky River Community Care Inc, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

3830 Highway 15 S
Jackson, KY 41339-8675
Phone: (606) 666-7591
Fax: (606) 666-8364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 252579 (KY)

Record details

NPI number1164833034
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kentucky River Community Care Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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