Katherine E Baughman, LCSW
Individual provider Active NPI Clinical Social Worker · Louisville, KY
NPI 1609548361 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1609548361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 256110 (KY)
- Practice address
- 9702 Stonestreet Rd
Louisville, KY 40272-6808 - Phone
- (502) 589-8920
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211011002077 | KY | Practitioner - Clinical Social Worker | 0042618738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256110 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Counties Services, Inc. | Clinical | Current |
Accepting new patients |
Locations
10401 Linn Station Rd
Ste 100
Louisville, KY 40223
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
9702 Stonestreet Rd
Louisville, KY 40272
Phone (502) 588-0610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 256110 | KY | Yes |
Addresses
Primary practice location
9702 Stonestreet Rd
Louisville, KY 40272-6808
Mailing address
10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842
Phone (502) 589-8600
Other providers in Louisville, KY
- Lauren Michelle Bauer
- Lauren Renae Bauer
- Patricia Bauer
- Kevin Richard Bauereis
- Jasmine Baugh
- Pauletta G Baughman
- Craig Steve Baum
- Tammy M Baum
- Carl N. Bauman
- Chad Bauman
All providers in Louisville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.