MRS. MONICA R DUSHANE LCSW
NPI 1801496468
Social Worker - Clinical in Louisville, KY

Active since October 31, 2020PECOS Enrolled
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241(502) 394-6460(502) 394-6465 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Feb 10, 2025, Apr 16, 2024 and 3 more (6 updates tracked since 2020).

About Mrs. Monica R Dushane Lcsw NPPES

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

MRS. MONICA R DUSHANE LCSW (NPI 1801496468) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (258805) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801496468
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MONICA R DUSHANECredential: LCSW
Location Address4915 NORTON HEALTHCARE BLVD STE 301Louisville, KY 40241-2866
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9493 · Fax (502) 272-5339
Fax(502) 394-6465
Sole ProprietorYes
Enumeration DateOctober 31, 2020
Last NPPES UpdateApril 7, 20256 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1801496468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 258805✔ Licensed in IL · 149022500✔ Licensed in WI · 9590-123✔ Licensed in OH · I.1600267-SUPV
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.
4915 NORTON HEALTHCARE BLVD STE 301, Louisville, KY 40241

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Monica R Dushane Lcsw 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 Reassignment

Medicare enrollment records show Monica Dushane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group

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 40241 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.

Psychiatry & Neurology (Vascular Neurology)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Nurse Practitioner (Gerontology)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Psychiatry & Neurology (Neurology)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Internal Medicine (Geriatric Medicine)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Nurse Practitioner (Family)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Nurse Practitioner (Family)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Neurological Surgery
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241
Psychiatry & Neurology (Neurology)
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY 40241

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 Monica Dushane's NPI number?

The NPI number for Monica Dushane is 1801496468. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Where is Monica Dushane located?

Monica Dushane practices at 4915 Norton Healthcare Blvd Ste 301, Louisville, KY 40241. The listed phone number is (502) 394-6460.

What is Monica Dushane's specialty?

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

Is Monica Dushane enrolled in Medicare?

Yes. Monica Dushane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monica Dushane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Dushane reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Dushane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Dushane accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Monica Dushane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Dushane was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.