Healthcare Provider Details

I. General information

NPI: 1538035076
Provider Name (Legal Business Name): CASEY KRISTINE SMITHER FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 BROOKRIDGE VILLAGE BLVD
LOUISVILLE KY
40291-4474
US

IV. Provider business mailing address

2415 WOODMONT DR
LOUISVILLE KY
40220-3638
US

V. Phone/Fax

Practice location:
  • Phone: 502-785-4322
  • Fax:
Mailing address:
  • Phone: 502-415-5152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: