Individual provider Active NPI

Clairemarie Locicero, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1750153177
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258389 Issued in KY
Practice address
801 Barret Ave Ste 222
Louisville, KY 40204-1733
Phone
(502) 424-5359
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 258389 KY Primary

Addresses

Primary practice location

801 Barret Ave Ste 222
Louisville, KY 40204-1733

Mailing address

801 Barret Ave Ste 222
Louisville, KY 40204-1733
Phone (502) 424-5359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258389KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 27, 2024 Accepting new patients
Mandala House, LLC Clinical CurrentSince Nov 15, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1190 E Broadway
Louisville, KY 40204
Phone (502) 309-2408

633 Baxter Ave
Louisville, KY 40204
Phone (502) 309-2408

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1750153177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 222",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-424-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 222",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-424-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCICERO",
        "first_name": "CLAIREMARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.