Active NPI
Cory Moneymaker, LCSW, LCADC
- Clinical Social Worker
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255157
- Practice address
- 1017 W. Market St
Louisville, KY 40202 - Phone
- (502) 585-4848
- NPI assigned
- Jan 20, 2017
- Last updated
- Oct 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Clinical Social Worker | 1041C0700X | 255157 | KY | Primary |
Addresses
Primary practice location
1017 W. Market St
Louisville, KY 40202
Mailing address
3206 Trail Ridge Rd
Louisville, KY 40241-6404
Phone (502) 548-4121
Other practice location 1
516 W Breckinridge St
Louisville, KY 40203-2128
Phone (502) 548-4121
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Counties Services, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| The Healing Place, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
10401 Linn Station Rd
Ste 100
Louisville, KY 40223
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
600 S Preston St
Louisville, KY 40202
Phone (502) 583-3951
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Louisville, KY
- NPI 1194274613
-
dba Sober 180
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1124574488
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1518404169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 TRAIL RIDGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402416404",
"telephone_number": "502-548-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W. MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-585-4848"
}
],
"practiceLocations": [
{
"address_1": "516 W Breckinridge St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402032128",
"country_code": "US",
"telephone_number": "502-548-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONEYMAKER",
"first_name": "CORY",
"credential": "LCSW, LCADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-20",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.