Active NPI
Gregory Scott Kiesel, CSW
- Social Worker
- Louisville, KY
National Provider Identifier
1750802187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 252716
- Practice address
- 4010 Dupont Cir Ste 582
Louisville, KY 40207-4888 - Phone
- (502) 899-5411
- NPI assigned
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 252716 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 582
Louisville, KY 40207-4888
Mailing address
4010 Dupont Cir Ste 582
Louisville, KY 40207-4888
Phone (502) 899-5411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252716 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750802187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 582",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074888",
"telephone_number": "502-899-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 582",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074888",
"telephone_number": "502-899-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESEL",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "252716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.