KELLY BUSZKIEWICZ (NPI# 1235444589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235444589 |
| Entity Type | Individual |
| Full Name | KELLY BUSZKIEWICZ |
| Credential | LCSW, LCADC |
| Practice Address |
4950 Norton Healthcare Blvd Ste 305 Louisville KY 40241-2849 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5023946440 |
| Practice Fax Number | 5023946465 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
165364 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
253171 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100490080 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 S Preston St, Louisville, KY 402021716 | 5025898600 | 5025898771 |
| 914 E Broadway, Louisville, KY 402041037 | 5025898600 |
| Street Address |
4950 NORTON HEALTHCARE BLVD STE 305 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396759072 | Tammy S Evanow | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2006-07-28 |
| 1891291324 | Lauren Johnson | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2018-04-03 |
| 1073056917 | Courtney J Ware | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2016-11-26 |
| 1457679276 | Brandon Charles Dennis | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2010-05-05 |
| 1881911527 | Danny Ray Rose Jr. | Psychiatry & Neurology | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2010-04-20 |
| 1285827725 | Mahan Ghiassi | Neurological Surgery | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2007-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797911 | Harvetta K Ray | Social Worker | 1426 S 28th St, Louisville, KY 40211-1729 | 2020-07-14 |
| 1083235360 | Julie Elfers | Social Worker | 700 Front St Ste 208, Louisville, CO 80027-1805 | 2020-04-28 |
| 1699301291 | James Casey Newman | Social Worker | 7121 Black Walnut Cir, Louisville, KY 40229-6402 | 2020-03-16 |
| 1467086744 | Kathryn Fischer | Social Worker | 1009 Rosemary Dr, Louisville, KY 40213-1119 | 2020-02-26 |
| 1497385496 | Katelyn Mensing | Social Worker | 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 | 2020-01-19 |
| 1386280683 | Jayan Thomas Lcsw LLC | Social Worker | 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 | 2019-11-21 |
| 1619511615 | Children's Safe Haven, LLC | Social Worker | 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 | 2019-11-01 |
| 1518500693 | Samantha Catherine Renschler | Social Worker | 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 | 2019-10-22 |
| 1124660287 | Andrea Bland | Social Worker | 4820 Greenvale Cir, Louisville, KY 40272-3181 | 2019-10-10 |
| 1164063665 | Lisa Spencer | Social Worker | 3906 Wewoka Ave, Louisville, KY 40212-2852 | 2019-10-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.