Active NPI
Vanessa Allen, LCSW
- Clinical Social Worker
- Shepherdsville, KY
National Provider Identifier
1003564345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1430
- Practice address
- 9090 Cedar Grove Rd
Shepherdsville, KY 40165-8313 - Phone
- (502) 439-1050
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1430 | KY | Primary |
Addresses
Primary practice location
9090 Cedar Grove Rd
Shepherdsville, KY 40165-8313
Mailing address
9090 Cedar Grove Rd
Shepherdsville, KY 40165-8313
Phone (502) 439-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260402001785 | KY | Practitioner - Clinical Social Worker | 3678058096 | Reassigns benefits to 1 organization |
| I20260513003204 | IN | Practitioner - Clinical Social Worker | 3678058096 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1430 | KY | MD | Clinical Psychologist |
Practice roles (2 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy LLC | Current | Accepting new patients | |
| Brock Family Therapy Center Inc. | Current | Accepting new patients |
Locations
10300 Brookridge Village Blvd
Ste 104
Louisville, KY 40291
Phone (502) 727-8697
Networks
- IL PPO Downstate
- IL HMO C-SNP
- OH PPO
- TN PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- KY PPO C-SNP
- KY PPO
- TN PPO
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Shepherdsville, KY
- NPI 1871432302
-
- Adult Mental Health Clinic/Center
- Louisville, KY
- NPI 1609250992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1003564345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 CEDAR GROVE RD",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401658313",
"telephone_number": "502-439-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 CEDAR GROVE RD",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401658313",
"telephone_number": "502-439-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "VANESSA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.