Individual provider Active NPI

Yahshanah Williams, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1689946618
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259648 Issued in KY
Practice address
6707 Fenske LN
Louisville, KY 40258-4607
Phone
(502) 625-5080
Fax
(502) 305-6649
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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 259648 KY Primary

Addresses

Primary practice location

6707 Fenske LN
Louisville, KY 40258-4607

Mailing address

6601 Dixie Highway
Suite 4 Box 193
Louisville, KY 40258
Phone (502) 625-5080

Other identifiers 1

IdentifierTypeStateIssuer
7101015100MedicaidKY

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
I20250318001272 KY Practitioner - Clinical Social Worker 1951823194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
259648KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Connections Ky Clinical CurrentSince Jan 30, 2025 Accepting new patients

Locations

6601 Dixie Hwy
Ste 4
Louisville, KY 40258

1941 Bishop Ln
Ste 802
Louisville, KY 40218
Phone (270) 978-7919

Organizations & group practices 1

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1689946618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 DIXIE HIGHWAY",
            "address_2": "SUITE 4 BOX 193",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258",
            "telephone_number": "502-625-5080",
            "fax_number": "502-305-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 FENSKE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402584607",
            "telephone_number": "502-625-5080",
            "fax_number": "502-305-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "YAHSHANAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101015100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.