Active NPI
Caroline McMinn, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1669843389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 253466
- Practice address
- 10101 Linn Station Rd Ste 600
Louisville, KY 40223 - Phone
- (502) 589-8600
- Fax
- (502) 287-0662
- NPI assigned
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253466 | KY | Primary |
Addresses
Primary practice location
10101 Linn Station Rd Ste 600
Louisville, KY 40223
Mailing address
10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818
Phone (502) 589-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Other names 1
- Caroline Huddleston
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1669843389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 LINN STATION RD STE 600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233818",
"telephone_number": "502-589-8600",
"fax_number": "502-287-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 LINN STATION RD STE 600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40223",
"telephone_number": "502-589-8600",
"fax_number": "502-287-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMINN",
"first_name": "CAROLINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "HUDDLESTON",
"credential": "MSSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.