Individual provider Active NPI

Megan Stevenson, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1497327654
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255771 Issued in KY
Practice address
1436 S Shelby St
Louisville, KY 40217-1195
Phone
(502) 635-4530
Fax
(502) 636-0597
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 255771 KY Primary

Addresses

Primary practice location

1436 S Shelby St
Louisville, KY 40217-1195

Mailing address

1436 S Shelby St
Louisville, KY 40217-1195
Phone (502) 635-4530

Other practice location 1

1432 S Shelby St
Louisville, KY 40217-1166
Phone (502) 635-4530

Other practice location 2

1025 S 2nd St
Louisville, KY 40203-2823
Phone (502) 635-4530

Other identifiers 1

IdentifierTypeStateIssuer
7100417280MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://myevolvvoamidxb.netsmartcloud.com/Account/Login.aspx#!

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

LicenseStateTypeSpecialty
255771KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1497327654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171195",
            "telephone_number": "502-635-4530",
            "fax_number": "502-636-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171195",
            "telephone_number": "502-635-4530",
            "fax_number": "502-636-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 S Shelby St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171166",
            "country_code": "US",
            "telephone_number": "502-635-4530",
            "fax_number": "502-636-0597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032823",
            "country_code": "US",
            "telephone_number": "502-635-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417280",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://myevolvvoamidxb.netsmartcloud.com/Account/Login.aspx#!",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "1436 S Shelby St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.