Individual provider Active NPI

Catherine Ann Receveur, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1619382157
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7024 Issued in KY
Practice address
1321 S Preston St
Louisville, KY 40208-2033
Phone
(502) 636-0816
Fax
(502) 636-5256
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 7024 KY Primary

Addresses

Primary practice location

1321 S Preston St
Louisville, KY 40208-2033

Mailing address

1321 S Preston St
Louisville, KY 40208-2033
Phone (502) 636-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7024KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1619382157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082033",
            "telephone_number": "502-636-0816",
            "fax_number": "502-636-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082033",
            "telephone_number": "502-636-0816",
            "fax_number": "502-636-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECEVEUR",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.