Individual provider Active NPI

Jonathan Michael Nathaniel Keith, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1548848401
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255584 Issued in KY
Practice address
401 E Chestnut St Unit 610
Louisville, KY 40202-5711
Phone
(502) 588-4450
Fax
(502) 588-9539
NPI assigned
Mar 31, 2021
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 255584 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 610
Louisville, KY 40202-5711

Mailing address

335 Eagle LN
New Albany, IN 47150-6131
Phone (502) 373-6632

Other practice location 1

4010 DuPont Cir Ste 227
Louisville, KY 40207-4812
Phone (502) 373-6632

Other practice location 2

7400 New La Grange Rd Ste 304
Louisville, KY 40222-4870
Phone (502) 373-6632

Other identifiers 1

IdentifierTypeStateIssuer
7100733610MedicaidKY

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
I20251022000765 KY Practitioner - Clinical Social Worker 0547758534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Suite 610
Louisville, KY 40202-5711
Phone (502) 813-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255584KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 27, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 27, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1548848401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 EAGLE LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506131",
            "telephone_number": "502-373-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 610",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025711",
            "telephone_number": "502-588-4450",
            "fax_number": "502-588-9539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DuPont Cir Ste 227",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074812",
            "country_code": "US",
            "telephone_number": "502-373-6632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 New La Grange Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224870",
            "country_code": "US",
            "telephone_number": "502-373-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL NATHANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100733610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.