Active NPI
Christy Howard, LCSW, RPT-S
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1750428595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3274
- Practice address
- 10300 Brookridge Village Blvd
Suite 202
Louisville, KY 40291-4474 - Phone
- (502) 314-2237
- Fax
- (844) 379-5157
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004876A | IN | |
| Clinical Social Worker | 1041C0700X | 3274 | KY | Primary |
Addresses
Primary practice location
10300 Brookridge Village Blvd
Suite 202
Louisville, KY 40291-4474
Mailing address
11212 Sand Lake CT
Louisville, KY 40272-4382
Phone (502) 314-2237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100270550 | Medicaid | KY |
Other names 1
- Christy Delaquis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3274 | KY | MD | Social Worker |
| 34004876A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safari Kidz Kounseling LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Louisville, KY
- NPI 1649512047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1750428595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 SAND LAKE CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402724382",
"telephone_number": "502-314-2237",
"fax_number": "844-379-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 BROOKRIDGE VILLAGE BLVD",
"address_2": "SUITE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914474",
"telephone_number": "502-314-2237",
"fax_number": "844-379-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "CHRISTY",
"name_prefix": "Ms.",
"credential": "LCSW, RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004876A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100270550",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "DELAQUIS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.