Individual provider Active NPI

Kathryn Fischer, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1467086744
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254666 Issued in KY
Practice address
1009 Rosemary Dr
Louisville, KY 40213-1119
Phone
(502) 468-1863
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 254666 KY Primary

Addresses

Primary practice location

1009 Rosemary Dr
Louisville, KY 40213-1119

Mailing address

1009 Rosemary Dr
Louisville, KY 40213-1119
Phone (502) 468-1863

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
I20200909002876 KY Practitioner - Clinical Social Worker 1951729888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Zen Den LLC 2 clinicians

Practice addresses (Care Compare)

4211 Poplar Level Rd
Suite 101
Louisville, KY 40213-1527
Phone (502) 805-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254666KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Kentucky, LLC Clinical CurrentSince Sep 14, 2020 Accepting new patients
The Zen Den, LLC Clinical CurrentSince Dec 1, 2022 Accepting new patients

Locations

4211 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 805-1121

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1467086744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ROSEMARY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131119",
            "telephone_number": "502-468-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ROSEMARY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131119",
            "telephone_number": "502-468-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.