Louisville Stress & Trauma Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOUISVILLE STRESS & TRAUMA CENTER

Practice address

7410 New Lagrange Rd
Suite 204
Louisville, KY 40222

Phone

(209) 743-2480

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Sumner Lagow, LPCC, NCC

Title

Owner

Phone

(209) 743-2480

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumner-Rae Lagow, MS, LPCC, NCC

  • Professional Counselor
  • Louisville, KY
  • NPI 1174974562
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1598436313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 NEW LAGRANGE RD",
            "address_2": "SUITE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "209-743-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 NEW LAGRANGE RD",
            "address_2": "SUITE 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "209-743-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE STRESS & TRAUMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "LAGOW",
        "authorized_official_first_name": "SUMNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-743-2480",
        "authorized_official_credential": "LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Louisville Therapy Group, PLLC
• Louisville Urology

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.