Jennifer Shanks, LCSW, Lcadc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER SHANKS, LCSW, LCADC

Practice address

161 Saint Matthews Ave Ste 18
Louisville, KY 40207-3145

Phone

(502) 548-5647

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Shanks, LCSW, LCADCNPI 1013124247

Title

Owner

Phone

(502) 548-5647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Shanks, LCSW, LCADC

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1013124247
  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1619775640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BROADFIELDS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074341",
            "telephone_number": "502-548-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SAINT MATTHEWS AVE STE 18",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073145",
            "telephone_number": "502-548-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SHANKS, LCSW, LCADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-548-5647",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E. Day, Psy.D., PLLC
• Jennifer Hamill LCSW PLLC
• Jennifer L. Sanders LPP LLC
• Jennifer M Pollard LLC
• Jennifer Metts Pediatric Therapy Group LLC
• Claudia Jennings
• Craig Jennings
• David C Jennings, MD
• Grace Jennings, LCSW
• James T Jennings, M.D.

• 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 Apr 11, 2025; 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.