Individual provider Active NPI

Carli Allen, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1972907525
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254322 Issued in KY
Practice address
4010 Dupont Cir Ste 582
Louisville, KY 40207-4888
Phone
(502) 889-5411
NPI assigned
Oct 10, 2014
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 254322 KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 582
Louisville, KY 40207-4888

Mailing address

209 Landings Dr Apt 1
Frankfort, KY 40601-1371
Phone (502) 457-0797

Other practice location 1

200 Home Rd
Covington, KY 41011-1942
Phone (859) 261-8768

Other practice location 2

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800

Other names 1

  • Carli Bryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004591 KY Practitioner - Mental Health Counselor 8426491408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254322KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Hope for Today's Families LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4010 DuPont Cir
Ste 582
Louisville, KY 40207
Phone (502) 747-9918

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1972907525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LANDINGS DR APT 1",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011371",
            "telephone_number": "502-457-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 582",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074888",
            "telephone_number": "502-889-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Home Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111942",
            "country_code": "US",
            "telephone_number": "859-261-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271491",
            "country_code": "US",
            "telephone_number": "513-272-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CARLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLI",
            "last_name": "BRYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.