Individual provider Active NPI

Katie Michelle Luttrell, LCSW

  • Social Worker
  • Willisburg, KY
National Provider Identifier
1437862059
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
257281 Issued in KY
Practice address
2084 Main St
Willisburg, KY 40078-8199
Phone
(859) 375-9200
NPI assigned
Dec 28, 2022
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 257281 KY
Social Worker 104100000X 257281 KY Primary

Addresses

Primary practice location

2084 Main St
Willisburg, KY 40078-8199

Mailing address

2084 Main St
Willisburg, KY 40078-8199
Phone (859) 375-9200

Other names 1

  • Katei Jerome Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL katie.jerome@isaiah-house.org Direct

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
I20230125001446 KY Practitioner - Clinical Social Worker 7214308543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Isaiah House, Inc. CurrentSince Dec 11, 2022 Accepting new patients
Isaiah House, Inc Past Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

2042 Main St
Willisburg, KY 40078

2084 Main St
Willisburg, KY 40078
Phone 8593759200 ext. 232

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, 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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1437862059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 MAIN ST",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400788199",
            "telephone_number": "859-375-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "KATIE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "257281",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "257281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katie.jerome@isaiah-house.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2084 Main St",
            "city": "Willisburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400788199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATEI",
            "last_name": "JEROME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willisburg, KY

Sources for this page

Verify at the official NPI Registry.