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ANGELICA SHUTT LCSW
NPI 1013881804
Social Worker - Clinical in Louisville, KY

Active since October 03, 2025PECOS EnrolledAccepts Medicare Assignment
2105 CRUMS LN, LOUISVILLE, KY 40216(502) 589-8600(502) 589-8745 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelica Shutt Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA SHUTT LCSW (NPI 1013881804) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (LCSW00001167) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013881804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANGELICA SHUTTCredential: LCSW
Location Address2105 CRUMS LNLouisville, KY 40216-4231
Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600 · Fax (502) 589-8745
Phone(502) 589-8600
Fax(502) 589-8745
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1013881804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · LCSW00001167
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.
2105 CRUMS LN, Louisville, KY 40216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelica Shutt Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032606686
PECOS Enrollment IDI20251016001806
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA ZIRNHELD
Registered Nurse (Psychiatric/Mental Health)
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-1100
JOSHUA CLARK
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-8600
BRITTANY TAYLOR BA
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-8600
MS. ANITA EILEEN MCCULLOCH LCSW
Social Worker (Clinical)
2105 CRUMS LN, SUITE 8
LOUISVILLE, KY 40216
Jefferson County (502) 693-5870
CHRISTINA KEIFER
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-8600
DEBRA ALLISON
Social Worker
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-1100
MATTHEW COSTNER
Case Manager/Care Coordinator
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-8600
DANE MICHAEL MENDELSOHN APRN
Nurse Practitioner (Psychiatric/Mental Health)
2105 CRUMS LN
LOUISVILLE, KY 40216
Jefferson County (502) 589-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Shutt's NPI number?

The NPI number for Angelica Shutt is 1013881804. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Angelica Shutt located?

Angelica Shutt practices at 2105 Crums Ln, Louisville, KY 40216. The listed phone number is (502) 589-8600.

What is Angelica Shutt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Angelica Shutt enrolled in Medicare?

Yes. Angelica Shutt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelica Shutt was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.