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SANCTUARY PSYCHOTHERAPY SERVICES LLC
NPI 1104563378
Social Worker - Clinical in Louisville, KY

Active since May 18, 2022
5737 S WATTERSON TRL APT 5, LOUISVILLE, KY 40291(452) 744-4708(502) 331-6062 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sanctuary Psychotherapy Services Llc NPPES

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

SANCTUARY PSYCHOTHERAPY SERVICES LLC (NPI 1104563378) is a healthcare organization registered as a clinical in Louisville, Kentucky and active in the NPI registry since May 2022. The organization lists Maria Wibbels, Owner, as its authorized official.

NPPES Registry Identity

NPI1104563378
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSANCTUARY PSYCHOTHERAPY SERVICES LLC
Location Address5737 S WATTERSON TRL APT 5Louisville, KY 40291-1899
Mailing Address5737 S Watterson Trl Apt 5Louisville, KY 40291-1899 · (845) 274-4470 · Fax (502) 331-6062
Phone(452) 744-4708
Fax(502) 331-6062
Organization SubpartNo
Authorized OfficialMaria WibbelsOwner · (845) 274-4470
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1104563378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

5737 S WATTERSON TRL APT 5, Louisville, KY 40291
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. MARIA L. WIBBELS L.C.S.W.
Social Worker (Clinical)
5737 S WATTERSON TRL APT 5
LOUISVILLE, KY 40291
Jefferson County (502) 612-7798

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 Sanctuary Psychotherapy Services LLC's NPI number?

The NPI number for Sanctuary Psychotherapy Services LLC is 1104563378. It was assigned to this organization in the NPPES registry on May 18, 2022.

Where is Sanctuary Psychotherapy Services LLC located?

Sanctuary Psychotherapy Services LLC is located at 5737 S Watterson Trl Apt 5, Louisville, KY 40291. The listed phone number is (452) 744-4708.

What is Sanctuary Psychotherapy Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sanctuary Psychotherapy Services LLC was last updated on May 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.