Active NPI
Jessica Skraastad Iliff, MSSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1982733960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3138
- Practice address
- 800 Zorn Ave
Louisville, KY 40206-1433 - Phone
- (502) 287-6000
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3138 | KY | Primary |
Addresses
Primary practice location
800 Zorn Ave
Louisville, KY 40206-1433
Mailing address
10304 Royce CT
Unit 201
Louisville, KY 40241
Phone (502) 290-0573
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 |
|---|---|---|---|
| 3138 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1982733960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10304 ROYCE CT",
"address_2": "UNIT 201",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-290-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ZORN AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061433",
"telephone_number": "502-287-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIFF",
"first_name": "JESSICA",
"middle_name": "SKRAASTAD",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3138",
"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 Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.