Individual provider Active NPI

Carol Angela Niehaus, L.C.S.W.

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1770926677
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1515 Issued in KY
Practice address
1007 Lyndon LN
8
Louisville, KY 40222-7350
Phone
(502) 767-2822
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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 1515 KY Primary

Addresses

Primary practice location

1007 Lyndon LN
8
Louisville, KY 40222-7350

Mailing address

1007 Lyndon Lane
8
Louisville, KY 40222
Phone (502) 767-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180924001670 KY Practitioner - Clinical Social Worker 1557612991 Reassigns benefits to 1 organization
I20190911001383 IN Practitioner - Clinical Social Worker 1557612991 Reassigns benefits to 2 organizations
I20240309000598 TN Practitioner - Clinical Social Worker 1557612991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8509TNMDSocial Worker
1515KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC CurrentSince Dec 18, 2023 Accepting new patients
Lifespring, Inc CurrentSince Aug 1, 2019 Accepting new patients
Lifespring, Inc CurrentSince Aug 1, 2019 Accepting new patients
Greenhouse and Associates Inc. Past Accepting new patients

Locations

3310 E 10th St
#305
Jeffersonville, IN 47130

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

501 Union St
Ste 545
Nashville, TN 37219
Phone (615) 669-2873

Organizations & group practices 4

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1770926677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LYNDON LANE",
            "address_2": "8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-767-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LYNDON LN",
            "address_2": "8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227350",
            "telephone_number": "502-767-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "CAROL",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.