Marian Abdinasir Ahmed, CSW
Individual provider Active NPI Clinical Social Worker · Louisville, KY
NPI 1962893172 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1962893172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7225 (KY)
- Practice address
- 1436 S Shelby St
Louisville, KY 40217-1107 - Phone
- (502) 635-4529
- Fax
- (502) 636-0597
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 701059
Louisville, KY 40270
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815002890 | KY | Practitioner - Clinical Social Worker | 1951800044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7225 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Counseling Center, LLC | Current |
Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7225 | KY | Yes |
Addresses
Primary practice location
1436 S Shelby St
Louisville, KY 40217-1107
Mailing address
1436 S Shelby St
Louisville, KY 40217-1107
Phone (502) 635-4529
Other providers in Louisville, KY
- Anam Ahmed
- Areeba Ahmed
- Faizan Ahmed
- Hawa Abdirahman Ahmed
- Junaid Mateen Ahmed
- Sunya Ahmed
- Nicholas Utchan Ahn
- Douglas G Ahrens
- Douglas Gerard Ahrens II
- Edwin M Ahrens
All providers in Louisville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.