Active NPI
Michael L. Wardford, LCSW, LMFT
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1780702910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- KY-994
- Practice address
- 332 W Broadway Ste 902
Louisville, KY 40202 - Phone
- (502) 589-8009
- NPI assigned
- Mar 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | KY-0364 | KY | |
| Clinical Social Worker | 1041C0700X | KY-994 | KY | Primary |
Addresses
Primary practice location
332 W Broadway Ste 902
Louisville, KY 40202
Mailing address
11527 Top Walnut Loop
Louisville, KY 40229-2488
Phone (502) 387-3415
Other practice location 1
9600 Lamborne Blvd
Louisville, KY 40272-2505
Phone (502) 935-7284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82009945 | Medicaid | KY |
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 |
|---|---|---|---|
| KY-994 | KY | MD | Clinical Social Worker |
| KY-0364 | KY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1780702910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11527 TOP WALNUT LOOP",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292488",
"telephone_number": "502-387-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 W BROADWAY STE 902",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-589-8009"
}
],
"practiceLocations": [
{
"address_1": "9600 Lamborne Blvd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402722505",
"country_code": "US",
"telephone_number": "502-935-7284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARDFORD",
"first_name": "MICHAEL",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "KY-0364",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "KY-994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82009945",
"state": "KY"
}
],
"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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.