Active NPI
Wesley Maze, CSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1861227308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 258155
- Practice address
- 1100 S 3Rd St
Louisville, KY 40203-2902 - Phone
- (502) 654-8255
- NPI assigned
- Sep 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 258155 | KY | Primary |
Addresses
Primary practice location
1100 S 3Rd St
Louisville, KY 40203-2902
Mailing address
1400 Main St Unit 172
Clarksville, IN 47129-3108
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 |
|---|---|---|---|
| 258155 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katelyn Mensing LCSW | Clinical | Current | Accepting new patients |
Locations
1400 Main St
Unit 172
Clarksville, IN 47129
Phone (502) 654-8255
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1861227308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MAIN ST UNIT 172",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471293108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032902",
"telephone_number": "502-654-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZE",
"first_name": "WESLEY",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258155",
"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 Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.