Individual provider Active NPI

John Patrick Setzer, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1073054128
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252500 Issued in KY
Practice address
3923 Hycliffe Ave
Louisville, KY 40207-3838
Phone
(502) 648-1001
NPI assigned
Mar 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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 252500 KY Primary

Addresses

Primary practice location

3923 Hycliffe Ave
Louisville, KY 40207-3838

Mailing address

3923 Hycliffe Ave
Louisville, KY 40207-3838
Phone (502) 648-1001

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
I20170816001990 KY Practitioner - Clinical Social Worker 1355613027 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8135 New la Grange Rd
Louisville, KY 40222-4682
Phone (502) 648-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1073054128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 HYCLIFFE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073838",
            "telephone_number": "502-648-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 HYCLIFFE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073838",
            "telephone_number": "502-648-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETZER",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.