Sharron Alexandersmith, LCSW

Individual provider Active NPI Clinical Social Worker · Louisville, KY

NPI 1730185562 · NPPES record last updated Oct 23, 2009

Key facts

NPI
1730185562
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1349 (KY)
Practice address
1382 S 3Rd St
Louisville, KY 40208-2351
Phone
(502) 637-4361
Fax
(502) 637-4490
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1349KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Inc Past
since Sep 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1349 KY Yes

Addresses

Primary practice location

1382 S 3Rd St
Louisville, KY 40208-2351

Mailing address

1382 S 3Rd St
Louisville, KY 40208-2351
Phone (502) 637-4361

Other providers in Louisville, KY

All providers in Louisville, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.