GLENNESHA MUDD CSW
NPI 1568901601
Social Worker - Clinical in Louisville, KY

Q: What is Glennesha Mudd's NPI number?

The NPI number for Glennesha Mudd is 1568901601. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Q: What is Glennesha Mudd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glennesha Mudd was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since February 22, 2017PECOS Enrolled

411 E CHESTNUT ST # 5B, LOUISVILLE, KY 40202(502) 588-2330(502) 588-9513 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2023, Feb 22, 2017 (2 updates tracked since 2017).

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About Glennesha Mudd Csw NPPES

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

GLENNESHA MUDD CSW (NPI 1568901601) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (254825) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568901601

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameGLENNESHA MUDDCredential: CSW

Location Address411 E CHESTNUT ST # 5BLouisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490

Phone(502) 588-2330

Fax(502) 588-9513

Sole ProprietorNo

Enumeration DateFebruary 22, 2017

Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1568901601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in KY · 254825✔ Licensed in IN · 34009273A

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 252393 (KY)

411 E CHESTNUT ST # 5B, Louisville, KY 40202

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Other Identifiers 1

Medicaid7100813840KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glennesha Mudd Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Glennesha Mudd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Counseling Center, LLC

1.9 mi

Counselor

1169 EASTERN PKWY STE 3328
Louisville, KY 40217

Reassigned Medicare billing, Kentucky enrollment
201 clinicians in this Medicare group

NPI 1932590338 (855) 591-0092

Norton Children's Medical Group, LLC

10 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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 7

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

JOHN THOMAS STUTTS MD

Pediatrics (Pediatric Gastroenterology)