Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Self, LCSW

Individual provider Clinical Social Worker · NPI 1588538342

Audrey Self, LCSW is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

600 S Preston St
Louisville, KY 40202-1716
Phone: (502) 589-8600
Fax: (502) 589-8745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW00001161 (KY)

Record details

NPI number1588538342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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