Individual provider Active NPI

Linda Luking, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1578740320
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3898 Issued in KY
Practice address
3940 Gilman Ave
Louisville, KY 40207
Phone
(502) 896-0441
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3828 KY
Clinical Social Worker 1041C0700X 3898 KY Primary

Addresses

Primary practice location

3940 Gilman Ave
Louisville, KY 40207

Mailing address

3940 Gilman Ave
Louisville, KY 40207-2734
Phone (502) 896-0441

Other identifiers 1

IdentifierTypeStateIssuer
300013751MedicaidIN

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
I20150429002358 KY Practitioner - Clinical Social Worker 8628397478 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3940 Gilman Ave
Louisville, KY 40207-2734
Phone (502) 696-0441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3828KYMDClinical Social Worker
3898KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgehaven, Inc. Single Specialty CurrentSince Mar 17, 2015 Accepting new patients
US Psychiatry PLLC Single Specialty PastSince Mar 17, 2015 Accepting new patients

Locations

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

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1578740320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 GILMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072734",
            "telephone_number": "502-896-0441",
            "fax_number": "812-941-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 GILMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-896-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKING",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013751",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.