Active NPI
Gericaha Spiller
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1073924031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 254187
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 589-8600
- NPI assigned
- May 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | KY | ||
| Clinical Social Worker | 1041C0700X | 254187 | KY | Primary |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
10401 Linn Station Rd
Louisville, KY 40223-3842
Phone (502) 589-8600
Other practice location 1
900 Beasley St Ste 120
Lexington, KY 40509-4266
Phone (859) 251-1039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K309450 | Other | KY | MEDICARE |
| 7100627550 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1073924031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 LINN STATION RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233842",
"telephone_number": "502-589-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-589-8600"
}
],
"practiceLocations": [
{
"address_1": "900 Beasley St Ste 120",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405094266",
"country_code": "US",
"telephone_number": "859-251-1039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPILLER",
"first_name": "GERICAHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "254187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K309450",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100627550",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.