Individual provider Active NPI

Joseph D'Ambrosio, PHD, LCSW, LMFT

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1003232604
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255511 Issued in KY
Practice address
4601 S 6TH St
Louisville, KY 40214-1405
Phone
(502) 791-6090
NPI assigned
Mar 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255511 KY Primary
Marriage & Family Therapist 106H00000X 0796 KY

Addresses

Primary practice location

4601 S 6TH St
Louisville, KY 40214-1405

Mailing address

4601 S 6TH St
Louisville, KY 40214-1405
Phone (502) 791-6090

Other identifiers 2

IdentifierTypeStateIssuer
K249310OtherKYMEDICARE
7100334890MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104001484 KY Practitioner - Clinical Social Worker 6901165513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

300 E Market St
Suite 490
Louisville, KY 40202-1959
Phone (502) 588-0480

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
255511KYMDClinical Social Worker
0796KYMDMarriage & Family Therapist

Practice roles (4 of 10)

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Dec 21, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 21, 2017 Accepting new patients
Encerta Health Ky, LLC Clinical CurrentSince Oct 5, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4601 S 6th St
Louisville, KY 40214
Phone (502) 791-6090

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

204 E Market St
#A
Louisville, KY 40202
Phone (502) 588-0433

300 E Market St
Ste 490
Louisville, KY 40202
Phone (502) 588-0480

Networks

  • OH PPO
  • TN PPO
  • KY PPO C-SNP
  • TN PPO C-SNP
  • KY PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1003232604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S 6TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141405",
            "telephone_number": "502-791-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S 6TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141405",
            "telephone_number": "502-791-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBROSIO",
        "first_name": "JOSEPH",
        "credential": "PHD, LCSW,  LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255511",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K249310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100334890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.