JUSTIN M DOUB


Address: 401 E Chestnut St Unit 610, Louisville, KY 40202-5711
Phone: 5025884450

JUSTIN M DOUB (NPI# 1215070065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215070065
Entity Type Individual
Full Name JUSTIN M DOUB
Credential LCSW
Practice Address 401 E Chestnut St Unit 610
Louisville
KY 40202-5711
Mailing Address 401 E Chestnut St Unit 600
Louisville
KY 40202-5705
Practice Telephone 5025884450
Practice Fax Number 5025889539
Mailing Telephone (502) 588-4425
Mailing Fax Number 5025884427
Enumeration Date 2007-02-14
Last Update Date 2017-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
5061 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 30605018 05

Office Location

Street Address 401 E CHESTNUT ST UNIT 610
City LOUISVILLE
State KY
Zip Code 40202-5711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942272174 Tracy Dwight Eells Psychologist 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2006-02-02
1164075909 Stuart Cripe Jr. Social Worker 401 E Chestnut St Unit 610, Louisville, KY 40202 2019-07-22
1003476466 Shaquilla N Cooper Social Worker 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2019-06-18
1225598220 Gregory Emerson Wykoff Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2019-03-25
1902367873 Rachel Getzenberg Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2019-03-25
1326508474 Alexis Lynn Glomski Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2019-03-24
1750841987 Arthur Oliva Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2019-03-22
1740785070 Saba Afshar Psychiatry & Neurology 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2018-03-28
1760910798 Audrey Pulitzer Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2017-06-04
1346776978 Drew Cameron Student in an Organized Health Care Education/Training Program 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2017-05-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
Find all providers in zip 40202

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LOUISVILLE
Zip Code 40202

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Dataset Information

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.

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