Individual provider Active NPI

Naomi Carrico, CSW

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1104364462
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
255414 Issued in KY
Practice address
2821 Klempner Way
Louisville, KY 40205
Phone
(502) 452-6341
Fax
(502) 452-6718
NPI assigned
Feb 7, 2017
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 252474 KY
Mental Health Counselor 101YM0800X 255414 KY Primary
Clinical Social Worker 1041C0700X 255414 KY

Addresses

Primary practice location

2821 Klempner Way
Louisville, KY 40205

Mailing address

518 Eline Ave
Louisville, KY 40207-3656
Phone (502) 552-4214

Other practice location 1

130 Fairfax Ave Ste 100A
Louisville, KY 40207-4948
Phone (502) 552-4214

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
I20250815004330 KY Practitioner - Clinical Social Worker 4880193937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family and Career Services of Louisville IncGroup PAC ID 2769437607, 5 clinicians

Practice addresses (Care Compare)

2821 Klempner Way
Louisville, KY 40205-4203
Phone 5024526341247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255414KYMDClinical Social Worker
252474KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Career Services of Louisville Inc Mental Health CurrentSince Jun 7, 2025 Accepting new patients
Carrico Counseling LLC Clinical CurrentSince Sep 8, 2026 Accepting new patients

Locations

130 Fairfax Ave
Ste 100A
Louisville, KY 40207
Phone (502) 272-9358

2821 Klempner Way
Louisville, KY 40205
Phone (502) 452-6341

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1104364462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 ELINE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073656",
            "telephone_number": "502-552-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 KLEMPNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-452-6341",
            "fax_number": "502-452-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fairfax Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074948",
            "country_code": "US",
            "telephone_number": "502-552-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "252474",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "255414",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.