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

Lauren Mickaela Runyon, LCSW

Individual provider Clinical Social Worker · NPI 1619858289

Lauren Mickaela Runyon, LCSW is a Clinical Social Worker in Independence, Kentucky. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11777 Manor Lake Dr
Independence, KY 41051-9716
Phone: (859) 587-2995
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 LCSW00001126 (KY)

Record details

NPI number1619858289
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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