Individual provider Active NPI

Jennifer Hofelich, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1689231375
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254046 Issued in KY
Practice address
119 S Sherrin Ave Ste 230
Louisville, KY 40207-3237
Phone
(502) 224-9176
NPI assigned
May 29, 2019
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 254046 KY Primary

Addresses

Primary practice location

119 S Sherrin Ave Ste 230
Louisville, KY 40207-3237

Mailing address

119 S Sherrin Ave Ste 230
Louisville, KY 40207-3237
Phone (502) 224-9176

Other practice location 1

720 W Hill St
Louisville, KY 40208
Phone (502) 636-3164

Other practice location 2

10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818
Phone (502) 589-8600

Other practice location 3

10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818
Phone (502) 589-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190703002144 KY Practitioner - Clinical Social Worker 5496080988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring IncGroup PAC ID 1153406707, 4 clinicians

Practice addresses (Care Compare)

225 W Breckinridge St
Louisville, KY 40203-2219
Phone (502) 637-4361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Oct 1, 2019 Accepting new patients
Seven Counties Services, Inc. Clinical CurrentSince May 12, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2019 Accepting new patients

Locations

10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 586-8900

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

720 W Hill St
Louisville, KY 40208
Phone (502) 363-3164

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1689231375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S SHERRIN AVE STE 230",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073237",
            "telephone_number": "502-224-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S SHERRIN AVE STE 230",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073237",
            "telephone_number": "502-224-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Hill St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40208",
            "country_code": "US",
            "telephone_number": "502-636-3164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Linn Station Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233818",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Linn Station Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233818",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFELICH",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.