Individual provider Active NPI

Savannah Kate Sooter, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1306527494
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4062 Issued in KY
Practice address
6200 Dutchmans LN
Louisville, KY 40205-3271
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 4062 KY Primary

Addresses

Primary practice location

6200 Dutchmans LN
Louisville, KY 40205-3271

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 456-6200

Other practice location 1

11162 S Highway 333
Vine Grove, KY 40175-7632
Phone (731) 441-1891

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssooter@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240425000823 KY Practitioner - Clinical Social Worker 6507206489 Reassigns benefits to 2 organizations
I20250905001637 IN Practitioner - Clinical Social Worker 6507206489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4062KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc CurrentSince Feb 19, 2024 Accepting new patients
Care Guide Partners Inc Clinical CurrentSince Feb 19, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 28, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

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

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

Organizations & group practices 4

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1306527494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "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",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11162 S Highway 333",
            "address_purpose": "LOCATION",
            "city": "Vine Grove",
            "state": "KY",
            "postal_code": "401757632",
            "country_code": "US",
            "telephone_number": "731-441-1891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOOTER",
        "first_name": "SAVANNAH",
        "middle_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssooter@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.