Individual provider · Type 1 NPI

Jesse Vice Crutcher, LCSW, LMFT

Clinical Social Worker · Louisville, KY

NPI number 1104269018 Active

Practice location

914 E Broadway, 3rd Floor
Louisville, KY 40204-1037

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5030 (KY)
Social Worker 104100000X6365 (KY)
Marriage & Family Therapist 106H00000X2012-028 (KY)

Clinical Social Worker: 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 interpers…

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About NPI 1104269018

Jesse Vice Crutcher, LCSW, LMFT's National Provider Identifier is 1104269018, issued on Apr 10, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 30, 2025.