Individual provider Active NPI

Mariko Chinyang Kemble, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1356234157
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260343 Issued in KY
Practice address
4229 Bardstown Rd Ste 310
Louisville, KY 40218-3266
Phone
(502) 416-1416
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 260343 KY Primary

Addresses

Primary practice location

4229 Bardstown Rd Ste 310
Louisville, KY 40218-3266

Mailing address

212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone (502) 777-1395

Other practice location 1

212 N 2nd St Ste 100
Richmond, KY 40475-1408
Phone (502) 777-1395

Other names 1

  • Mariko Chou Former name

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

State licenses

LicenseStateTypeSpecialty
260343KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1356234157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "502-777-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 BARDSTOWN RD STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183266",
            "telephone_number": "502-416-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 N 2nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404751408",
            "country_code": "US",
            "telephone_number": "502-777-1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMBLE",
        "first_name": "MARIKO",
        "middle_name": "CHINYANG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIKO",
            "last_name": "CHOU",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 29, 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.

Verify at the official NPI Registry.