Individual provider Active NPI

Jennifer Curry Hoertz, LCSW, MFTA

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1114346376
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3712 Issued in KY
Practice address
161 Saint Matthews Ave
Suite 18
Louisville, KY 40207-3145
Phone
(502) 290-6800
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 3712 KY Primary

Addresses

Primary practice location

161 Saint Matthews Ave
Suite 18
Louisville, KY 40207-3145

Mailing address

431 Country LN
Louisville, KY 40207-1803
Phone (502) 262-0171

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
I20210209001700 KY Practitioner - Clinical Social Worker 4587079330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

161 Saint Matthews Ave
Suite 18
Louisville, KY 40207-3145
Phone (502) 262-0171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy of Louisville, LLC Clinical CurrentSince Oct 28, 2020 Accepting new patients

Locations

161 Saint Matthews Ave
Ste 18
Louisville, KY 40207
Phone (502) 262-0171

Organizations & group practices 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1114346376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 COUNTRY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071803",
            "telephone_number": "502-262-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SAINT MATTHEWS AVE",
            "address_2": "SUITE 18",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073145",
            "telephone_number": "502-290-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERTZ",
        "first_name": "JENNIFER",
        "middle_name": "CURRY",
        "credential": "LCSW, MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.