Individual provider Active NPI

Lesley Ellen Schmaltz, LSW, CSW

  • Clinical Social Worker
  • New Albany, IN
National Provider Identifier
1124188107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5086 Issued in KY
Practice address
2818 Grant Line Rd
New Albany, IN 47150-2492
Phone
(812) 944-6120
Fax
(812) 941-5726
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5086 KY Primary

Addresses

Primary practice location

2818 Grant Line Rd
New Albany, IN 47150-2492

Mailing address

2818 Grant Line Rd
New Albany, IN 47150-2492
Phone (812) 944-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210303003377 KY Practitioner - Clinical Social Worker 3971919671 Reassigns benefits to 1 organization
I20221013002564 IN Practitioner - Clinical Social Worker 3971919671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5086KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC CurrentSince Feb 5, 2021 Accepting new patients

Locations

3310 E 10th St
#305
Jeffersonville, IN 47130

1500 Leestown Rd
Ste 232
Lexington, KY 40511
Phone (859) 312-6716

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

4835 Poplar Level Rd
Ste 110
Louisville, KY 40213
Phone (502) 424-5002

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124188107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502492",
            "telephone_number": "812-944-6120",
            "fax_number": "812-941-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502492",
            "telephone_number": "812-944-6120",
            "fax_number": "812-941-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALTZ",
        "first_name": "LESLEY",
        "middle_name": "ELLEN",
        "credential": "LSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.