Individual provider Active NPI

Vanessa Allen, LCSW

  • Clinical Social Worker
  • Shepherdsville, KY
National Provider Identifier
1003564345
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1430 Issued in KY
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1430KYMDClinical Psychologist

Practice roles (2 of 11)

OrganizationSpecialtyStatusNew patients
Heartland Therapy LLC CurrentSince Mar 20, 2022 Accepting new patients
Brock Family Therapy Center Inc. CurrentSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.