Individual provider · Type 1 NPI

Mary Ellen Lasch, LISW, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1255391603 Active

Practice location

214 Breckenridge Ln, Suite 114
Louisville, KY 40207-3868

Call (502) 640-6288 Map

Fax (502) 896-0765

Mailing address

4620 Deepwood Ct
Louisville, KY 40241-5802

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1299 (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 1255391603

Mary Ellen Lasch, LISW, LCSW's National Provider Identifier is 1255391603, issued on Mar 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Jul 13, 2026.