Active NPI
Mark Alan Cain, LCSW
- Clinical Social Worker
- Bardstown, KY
National Provider Identifier
1427126754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1113
- Practice address
- 105 S 5TH St
Bardstown, KY 40004-1108 - Phone
- (502) 348-5454
- Fax
- (502) 349-6190
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1113 | KY | Primary |
Addresses
Primary practice location
105 S 5TH St
Bardstown, KY 40004-1108
Mailing address
5514 Billtown Rd
Louisville, KY 40299-4102
Phone (502) 348-5454
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1113 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427126754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 BILLTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402994102",
"telephone_number": "502-348-5454",
"fax_number": "502-267-9662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S 5TH ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041108",
"telephone_number": "502-348-5454",
"fax_number": "502-349-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.