Kelly A Reinecke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5970 Issued in KY

Practice address

125 Chenoweth LN Ste 307
Louisville, KY 40207-2641

Phone

(502) 554-1151

NPI assigned

Apr 23, 2013

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1902240732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 LAKE SPRING CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402997001",
            "telephone_number": "502-554-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHENOWETH LN STE 307",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072641",
            "telephone_number": "502-554-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Christine Reilly, PA-C
• Laureen Cindy Reimer, AU.D
• Destinee Rein, APRN
• Tara L Reinbrecht, RPH
• Reine Medical Supply LLC
• Tracey Reinecke
• Charles Reinert
• Kandi Reinhart
• Kayla Reinhart, FNP-BC
• Michaela Reinhart

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.