Individual provider Active NPI

Kirby Lashay Van Lierop, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1841944931
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1000 Dupont Rd
Louisville, KY 40207-4611
Phone
(502) 899-6405
Fax
(502) 599-6407
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 Primary

Addresses

Primary practice location

1000 Dupont Rd
Louisville, KY 40207-4611

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9425

Other practice location 1

708 Magazine St Ste 100
Louisville, KY 40203-2043
Phone (502) 589-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100797880MedicaidKY

Other names 1

  • Kirby Grein Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kirby.vanLierop@nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220217001847 KY Practitioner - Clinical Social Worker 4082007968 Reassigns benefits to 2 organizations
I20240917004180 IN Practitioner - Clinical Social Worker 4082007968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Seven Counties Services, Inc. Clinical CurrentSince Jan 5, 2022 Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Jun 27, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 7, 2024 Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince May 7, 2024 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

1000 DuPont Rd
Louisville, KY 40207
Phone (502) 899-6405

708 Magazine St
Ste 100
Louisville, KY 40203
Phone (502) 589-8926

708 Magazine St
Louisville, KY 40203
Phone (502) 589-6000

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: kirby.vanlierop@nortonhealthcare.org

Organizations & group practices 6

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1841944931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074611",
            "telephone_number": "502-899-6405",
            "fax_number": "502-599-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Magazine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032043",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LIEROP",
        "first_name": "KIRBY",
        "middle_name": "LASHAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100797880",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirby.vanLierop@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1000 DuPont Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRBY",
            "last_name": "GREIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.