Individual provider Active NPI

Stephanie M Kozacka, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1265898159
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001615 Issued in KY
Practice address
6200 Dutchmans LN Ste 200
Louisville, KY 40205-3285
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW00001615 KY Primary
Social Worker 104100000X LCSW00001615 KY

Addresses

Primary practice location

6200 Dutchmans LN Ste 200
Louisville, KY 40205-3285

Mailing address

6200 Dutchmans LN Ste 200
Louisville, KY 40205-3285
Phone (502) 456-6200

Other names 1

  • Stephanie M Fitzgerald Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skozacka@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 Roth CT
Fort Knox, KY 40121-3507

571 S Allen Rd
Flat Rock, NC 28731-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113383NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc Past Accepting new patients
Care Guide Partners Inc Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1265898159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053285",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053285",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZACKA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001615",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "LCSW00001615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skozacka@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FITZGERALD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.