Provider Demographics
NPI:1497385496
Name:MENSING, KATELYN (LCSW)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:MENSING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 BARRET AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1733
Mailing Address - Country:US
Mailing Address - Phone:502-836-0759
Mailing Address - Fax:502-586-7147
Practice Address - Street 1:801 BARRET AVE STE 210
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1733
Practice Address - Country:US
Practice Address - Phone:502-836-0759
Practice Address - Fax:502-586-7147
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-19
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1041C0700X
IN34009947A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300087956Medicaid
KY7100736230Medicaid