ALEXIS MUDD (NPI# 1669961009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669961009 |
| Entity Type | Individual |
| Full Name | ALEXIS MUDD |
| Other Name | ALEXIS BLYTHE-MEECE |
| Credential | LCSW |
| Practice Address |
1015 Dorsey Ln Louisville KY 40223-2612 |
| Practice Telephone | 5025991488 |
| Mailing Telephone | 5025991488 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW5089 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LCSW | 5089 | 01 |
| Street Address |
1015 DORSEY LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716688 | University Pediatrics Foundation, Inc. | Pediatrics | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2008-04-08 |
| 1023649936 | Lisa Purdy | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2020-01-29 |
| 1932671732 | Nolon Dant | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-12-19 |
| 1104300342 | Tiffany Farris | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-09-24 |
| 1326520537 | Karri Lynn Gerdemann | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-09-04 |
| 1225527120 | Kasey Wellinghurst | Occupational Therapist | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-05-07 |
| 1134629520 | Shannon Carty-janis | Behavioral Analyst | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2018-02-13 |
| 1093269367 | Brandi Lawson | Counselor | 1015 Dorsey Ln, Louisville, KY 40223 | 2016-08-04 |
| 1598116808 | Madalyn Brooke Schreiner | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2016-06-28 |
| 1508231762 | Steven Ochs | Counselor | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2015-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 | 40223 |
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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.