Individual provider Active NPI

Samantha McHenry, BA, MSSW, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1285333146
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260275 Issued in KY
Practice address
841 E Chestnut St
Louisville, KY 40204-1014
Phone
(502) 561-1051
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 260275 KY Primary

Addresses

Primary practice location

841 E Chestnut St
Louisville, KY 40204-1014

Mailing address

841 E Chestnut St
Louisville, KY 40204-1014
Phone (502) 561-1051

Other practice location 1

120 W College St
Louisville, KY 40203-2222
Phone (502) 584-2870

Other identifiers 1

IdentifierTypeStateIssuer
257131OtherKYCSW LICENSE

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
260275KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Inc CurrentSince Nov 16, 2019 Accepting new patients

Locations

120 W College St
Louisville, KY 40203
Phone (502) 584-2870

841 E Chestnut St
Louisville, KY 40204
Phone (502) 561-1051

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285333146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041014",
            "telephone_number": "502-561-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041014",
            "telephone_number": "502-561-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W College St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032222",
            "country_code": "US",
            "telephone_number": "502-584-2870",
            "fax_number": "502-589-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "SAMANTHA",
        "credential": "BA, MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSW LICENSE",
            "identifier": "257131",
            "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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.