David Ianke, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY3444 Issued in KY

Practice address

2210 Goldsmith LN Ste 202
Louisville, KY 40218-1038

Phone

(502) 296-5595

NPI assigned

May 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1194135434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-296-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GOLDSMITH LN STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181038",
            "telephone_number": "502-296-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANKE",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A. Hymes, M.D.
• Kathryn M Hynes, MC, CCC-A, F-AAA
• Tasha Marie Hynes
• Taylor Hysell
• I Management LLC
• Paulette Iannone
• Raul P Ibanez Hernandez Sr., APRN
• Onyinyechukwu Ibekwe
• Emily Conrad Ibershoff, LPCC MT-BC
• Aimen Ismail Ibrahim, PHARMD

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.