Individual provider Active NPI

Allison Paul, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1588313464
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254429 Issued in KY
Practice address
120 W College St
Louisville, KY 40203-2222
Phone
(502) 584-2870
NPI assigned
Mar 20, 2022
Last updated
Mar 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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 254429 KY Primary

Addresses

Primary practice location

120 W College St
Louisville, KY 40203-2222

Mailing address

705 Southlawn Dr
Shelbyville, KY 40065-8855
Phone (502) 439-8100

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
I20231027002397 KY Practitioner - Clinical Social Worker 8022464957 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
Ava Health and Wellness PLLCGroup PAC ID 1052707999, 10 clinicians

Practice addresses (Care Compare)

417 Benjamin LN
Suite 101
Louisville, KY 40222-4939
Phone (502) 289-9306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254429KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ava Health and Wellness, PLLC CurrentSince Sep 28, 2023 Accepting new patients

Locations

417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306

9462 Brownsboro Rd
Louisville, KY 40241
Phone (502) 396-3320

9811 Brownsboro Rd
Ste 101
Louisville, KY 40241
Phone (502) 289-9306

Organizations & group practices 1

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": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1588313464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SOUTHLAWN DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658855",
            "telephone_number": "502-439-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLLEGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032222",
            "telephone_number": "502-584-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ALLISON",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.