Active NPI
Robert S Louallen
- Clinical Social Worker
- Georgetown, KY
National Provider Identifier
1275448052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW00001711
- Practice address
- 203 Champion Way Ste 7
Georgetown, KY 40324-8861 - Phone
- (502) 603-0020
- NPI assigned
- Aug 17, 2026
- Last updated
- Oct 4, 2026
- Sex
- Male
- 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 | CSW00001711 | KY | Primary |
Addresses
Primary practice location
203 Champion Way Ste 7
Georgetown, KY 40324-8861
Mailing address
PO Box 92
Harrodsburg, KY 40330-0092
Phone (859) 612-1885
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1275448052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403300092",
"telephone_number": "859-612-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 CHAMPION WAY STE 7",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248861",
"telephone_number": "502-603-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUALLEN",
"first_name": "ROBERT",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-17",
"last_updated": "2026-10-04",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "CSW00001711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
- Lives Made Stronger Therapy Services, PSC
- Hugh Harrison Loeffler, MD
- Luke Logan, PHARMD
- Taylor Michelle Long, MED, BCBA, LBA
- Anthony Jay Lopez, MD
- LP Georgetown LLC (Signature HealthCARE of Georgetown)
- Amelia Carol Luckett
- Jerry Jason Lyles, D.C
- Lyndsay Dixon Nutrition LLC (Southern Roots Dietitian)
- Benjamin P Lyon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.