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

Theodore M Lineberry, CSW

Individual provider Clinical Social Worker · NPI 1831979533

Theodore M Lineberry, CSW is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Bridgehaven, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

950 S 1st St
Louisville, KY 40203-2202
Phone: (502) 585-9444
Fax: (502) 585-9466
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 258812 (KY)

Record details

NPI number1831979533
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorYes
NPI enumeratedOctober 2, 2023
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bridgehaven, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisville