Individual provider Active NPI

Misty Dawn Gittings, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1477896454
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256240 Issued in KY
Practice address
950 S 1St St
Louisville, KY 40203
Phone
(502) 585-9444
Fax
(502) 589-4489
NPI assigned
Mar 28, 2013
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 254157 KY
Clinical Social Worker 1041C0700X 256240 KY Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

950 S 1St St
Louisville, KY 40203

Mailing address

950 S 1St St
Louisville, KY 40203
Phone (502) 585-9444

Other practice location 1

817 Camden Ave
Louisville, KY 40215-2817
Phone (502) 417-1125

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
I20211202001594 KY Practitioner - Clinical Social Worker 0042600272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartwood Therapy Place LLCGroup PAC ID 1052725405, 5 clinicians

Practice addresses (Care Compare)

1941 Bishop LN
Suite 1019
Louisville, KY 40218-1928
Phone (502) 851-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254157KYMDSocial Worker
256240KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwood Therapy Place LLC Social Worker CurrentSince Oct 3, 2025 Accepting new patients
US Psychiatry PLLC PastSince Aug 6, 2019 Accepting new patients

Locations

1941 Bishop Ln
Ste 1019
Louisville, KY 40218
Phone (502) 369-1046

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1477896454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40203",
            "telephone_number": "502-585-9444",
            "fax_number": "502-589-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40203",
            "telephone_number": "502-585-9444",
            "fax_number": "502-589-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Camden Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402152817",
            "country_code": "US",
            "telephone_number": "502-417-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GITTINGS",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256240",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.