Active NPI
Mary Ellen Lasch, LISW, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1255391603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1299
- Practice address
- 214 Breckenridge LN
Suite 114
Louisville, KY 40207-3868 - Phone
- (502) 640-6288
- Fax
- (502) 896-0765
- NPI assigned
- Mar 27, 2006
- 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 | 1299 | KY | Primary |
Addresses
Primary practice location
214 Breckenridge LN
Suite 114
Louisville, KY 40207-3868
Mailing address
4620 Deepwood CT
Louisville, KY 40241-5802
Phone (502) 742-2554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7132 | Other | KY | MOORE AND ASSOCIATES |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1299 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255391603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 DEEPWOOD CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402415802",
"telephone_number": "502-742-2554",
"fax_number": "502-742-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BRECKENRIDGE LN",
"address_2": "SUITE 114",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073868",
"telephone_number": "502-640-6288",
"fax_number": "502-896-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCH",
"first_name": "MARY ELLEN",
"name_prefix": "Mrs.",
"credential": "LISW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOORE AND ASSOCIATES",
"identifier": "7132",
"state": "KY"
}
],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.