Individual provider Active NPI

Jeffrey Yocom, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1396183380
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4094 Issued in KY
Practice address
1711 Bardstown Rd Lowr Level
Louisville, KY 40205-1293
Phone
(502) 329-8934
Fax
(502) 242-2071
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4094 KY Primary

Addresses

Primary practice location

1711 Bardstown Rd Lowr Level
Louisville, KY 40205-1293

Mailing address

2011 Lauderdale Rd
Louisville, KY 40205-1529
Phone (502) 417-5514

Other identifiers 1

IdentifierTypeStateIssuer
7100351280MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4094KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling Services LLC Clinical CurrentSince Nov 12, 2023 Accepting new patients
Renew Counseling, LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

1711 Bardstown Rd
Lowr
Louisville, KY 40205

214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396183380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LAUDERDALE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051529",
            "telephone_number": "502-417-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BARDSTOWN RD LOWR LEVEL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051293",
            "telephone_number": "502-329-8934",
            "fax_number": "502-242-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCOM",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100351280",
            "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 Jul 8, 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.