Individual provider Active NPI

Shayla Thompson, LCSW

  • Clinical Social Worker
  • La Grange, KY
National Provider Identifier
1699539015
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258489 Issued in KY
Practice address
1006 New Moody LN Ste 201
La Grange, KY 40031-9122
Phone
(502) 222-6730
Fax
(502) 222-6731
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 258489 KY Primary

Addresses

Primary practice location

1006 New Moody LN Ste 201
La Grange, KY 40031-9122

Mailing address

1006 New Moody LN Ste 201
La Grange, KY 40031-9122
Phone (502) 222-6730

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
I20240226000981 KY Practitioner - Clinical Social Worker 4183069594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1031 New Moody LN
Suite 300
La Grange, KY 40031-9178
Phone (502) 225-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258489KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 8, 2024 Accepting new patients
Baptist Health Medical Group Inc Clinical CurrentSince Feb 8, 2024 Accepting new patients

Locations

1006 New Moody Ln
Ste 201
La Grange, KY 40031
Phone (502) 222-6730

1031 New Moody Ln
Ste 300
Lagrange, KY 40031
Phone (502) 222-3312

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 2

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1699539015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN STE 201",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NEW MOODY LN STE 201",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319122",
            "telephone_number": "502-222-6730",
            "fax_number": "502-222-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.