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AUDREY SELF LCSW
NPI 1588538342
Social Worker - Clinical in Louisville, KY

Active since October 03, 2025PECOS Enrolled
600 S PRESTON ST, LOUISVILLE, KY 40202(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 02, 2026.

About Audrey Self Lcsw NPPES

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

AUDREY SELF LCSW (NPI 1588538342) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (LCSW00001161) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1588538342
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDREY SELFCredential: LCSW
Location Address600 S PRESTON STLouisville, KY 40202-1716
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 2022
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1588538342 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 · LCSW00001161
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.
600 S PRESTON ST, Louisville, KY 40202
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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 (PECOS)

Audrey Self Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456848191
PECOS Enrollment IDI20251015003582
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 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 20

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

ELAINE STAMPER
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-8600
ANNA COPPOL
Nurse Practitioner
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 583-3951
TINA HALEY
Licensed Practical Nurse
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-8600
CARSON ELIZABETH ECONOMY LPCC
Counselor (Professional)
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 583-3951
DUSKA GRBIC
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-8600
SANDRA BRIM
Licensed Practical Nurse
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-1100
LATONDA CAMP
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-1100
WELDON FULLER
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 589-1100

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 Audrey Self's NPI number?

The NPI number for Audrey Self is 1588538342. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Audrey Self located?

Audrey Self practices at 600 S Preston St, Louisville, KY 40202. The listed phone number is (502) 589-8600.

What is Audrey Self's specialty?

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

Is Audrey Self enrolled in Medicare?

Yes. Audrey Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Self 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.