Individual provider Active NPI

Carrie Melissa Heuser, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1609113190
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3679 Issued in KY
Practice address
2507 Old Hickory Rd
Louisville, KY 40299-2832
Phone
(502) 266-0962
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 3679 KY Primary

Addresses

Primary practice location

2507 Old Hickory Rd
Louisville, KY 40299-2832

Mailing address

2507 Old Hickory Rd
Louisville, KY 40299-2832
Phone (502) 266-0962

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
I20140918001690 KY Practitioner - Clinical Social Worker 7012136302 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Washburn Ave
Louisville, KY 40222-4725
Phone (502) 594-6671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie M. Heuser, Inc Clinical CurrentSince Dec 11, 2015 Accepting new patients

Locations

501 Washburn Ave
Lyndon, KY 40222
Phone (502) 594-6671

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1609113190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 OLD HICKORY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992832",
            "telephone_number": "502-266-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 OLD HICKORY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992832",
            "telephone_number": "502-266-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSER",
        "first_name": "CARRIE",
        "middle_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.