Individual provider Active NPI

Kelsey Florence, LCSW

  • Clinical Social Worker
  • Mt Washington, KY
National Provider Identifier
1235948316
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259328 Issued in KY
Practice address
1200 N Bardstown Rd Unit a-2
Mt Washington, KY 40047-7669
Phone
(502) 509-7195
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 259328 KY Primary

Addresses

Primary practice location

1200 N Bardstown Rd Unit a-2
Mt Washington, KY 40047-7669

Mailing address

11112 Fantasy TRL
Louisville, KY 40229-5515
Phone (502) 386-5079

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
I20250812002421 KY Practitioner - Clinical Social Worker 5597263202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Chronic Illness Counseling Center LLCGroup PAC ID 3274930896, 10 clinicians

Practice addresses (Care Compare)

13804 Lake Point Cir
Suite 101
Louisville, KY 40223-4239
Phone (502) 805-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Illness Counseling Center LLC Clinical CurrentSince Jul 30, 2025 Accepting new patients

Locations

13804 Lake Point Cir
Ste 101
Louisville, KY 40223
Phone (502) 245-7258

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, 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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1235948316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 FANTASY TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295515",
            "telephone_number": "502-386-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BARDSTOWN RD UNIT A-2",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477669",
            "telephone_number": "502-509-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "KELSEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.