Individual provider Active NPI

Kristin Painter, LCSW

  • Clinical Social Worker
  • Jeffersonville, IN
National Provider Identifier
1669883542
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008730A Issued in IN
Practice address
1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone
(812) 283-2217
Fax
(812) 282-6248
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008730A IN Primary
Clinical Social Worker 1041C0700X 252649 KY
Case Manager/Care Coordinator 171M00000X KY

Addresses

Primary practice location

1220 Missouri Ave
Jeffersonville, IN 47130-3725

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9425

Other practice location 1

701 Cornell Avenue
Clarksville, IN 47129-2516
Phone (502) 224-6828

Other identifiers 1

IdentifierTypeStateIssuer
300095143MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.painterl@nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251125000378 IN Practitioner - Clinical Social Worker 1951737964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

PO Box
Suite 776351
Chicago, IL 60677-6351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008730AINMDClinical Social Worker
252649KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Clinical Current Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1669883542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9425",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2217",
            "fax_number": "812-282-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Cornell Avenue",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292516",
            "country_code": "US",
            "telephone_number": "502-224-6828",
            "fax_number": "502-921-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008730A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252649",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300095143",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.painterl@nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1220 Missouri Ave",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.