Individual provider Active NPI

Ronald D Dobbs, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1396770988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY726 Issued in KY
Practice address
3801 Springhurst Blvd
Ste 101
Louisville, KY 40241-6137
Phone
(502) 394-0101
Fax
(502) 425-4275
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 KY726 KY Primary

Addresses

Primary practice location

3801 Springhurst Blvd
Ste 101
Louisville, KY 40241-6137

Mailing address

3801 Springhurst Blvd
Ste 101
Louisville, KY 40241-6137
Phone (502) 394-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001004 KY Practitioner - Clinical Social Worker 1355255282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Access Behavioral Health IncGroup PAC ID 7012040819, 4 clinicians

Practice addresses (Care Compare)

3801 Springhurst Blvd
Suite 101
Louisville, KY 40241-6137
Phone (502) 394-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY726KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Inc CurrentSince Jun 25, 2010 Accepting new patients

Locations

3801 Springhurst Blvd
Ste 101
Louisville, KY 40241
Phone (502) 394-0101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396770988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SPRINGHURST BLVD",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416137",
            "telephone_number": "502-394-0101",
            "fax_number": "502-425-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SPRINGHURST BLVD",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416137",
            "telephone_number": "502-394-0101",
            "fax_number": "502-425-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.