Endelea Elevate

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ENDELEA ELEVATE

Practice address

1939 Goldsmith LN Ste 214
Louisville, KY 40218-3178

Phone

(502) 414-4380

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ENDELEA ELEVATEAs reported in NPPES

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

Authorized official

Name

Ms. Dominique Davis

Title

Clinical Manager

Phone

(502) 615-9211

Specialties & licenses 1

Addresses

Part of

Endelea Elevate

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Gail Reevey, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1326691825
  NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1063224830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S BAGDAD RD STE 420",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415049",
            "telephone_number": "502-615-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 214",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183178",
            "telephone_number": "502-414-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Bagdad Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786415049",
            "country_code": "US",
            "telephone_number": "502-615-9211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDELEA ELEVATE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDELEA ELEVATE",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "502-615-9211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emw Women's Surgical Center
• Enabling Technologies of Kentuckiania (enTECH)
• Maria Cristal Encarnacion, MFT ASSOCIATE
• Encerta Health Ky, LLC
• Benjamin Ryan Endel
• Endless Sobriety & Recovery LLC
• Endocrine & Diabetes Associates, PSC
• Endocrine Associates PSC
• Endodontic Associates of Louisville PLLC
• Endodontics-Iroquois Park, PLLC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.