Active NPI
Maria Rebecca Trevizo, MSSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1245801232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255954
- Practice address
- 1100 E Market St
Louisville, KY 40206-1838 - Phone
- (502) 596-1000
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 255954 | KY | Primary |
Addresses
Primary practice location
1100 E Market St
Louisville, KY 40206-1838
Mailing address
1100 E Market St
Louisville, KY 40206-1838
Phone (502) 596-1000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mrtrev02@louisville.edu | Direct | |
| Direct Messaging Address | MTrevizo@homeoftheinnocents.org | Home of the Innocents |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255954 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1245801232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061838",
"telephone_number": "502-596-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061838",
"telephone_number": "502-596-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVIZO",
"first_name": "MARIA",
"middle_name": "REBECCA",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255954",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mrtrev02@louisville.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2301 S 3rd St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402922001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MTrevizo@homeoftheinnocents.org",
"affiliation": "Y",
"affiliationName": "Home of the Innocents",
"address_1": "1100 E Market St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402061838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.