Livewise LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY-1412 Issued in KY

Legal business name

LIVEWISE LLC

Practice address

103 Englewood Dr
Bardstown, KY 40004-2520

Phone

(502) 510-3630

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Jay Anthony Hall, LCSW

Title

Owner

Phone

(502) 510-3630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1225395023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ENGLEWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042520",
            "telephone_number": "502-510-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ENGLEWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042520",
            "telephone_number": "502-510-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-510-3630",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bardstown, KY
• Providers in Bardstown, 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 Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.