Mary Lynn Thieneman, LCSW, LMFT
Marriage & Family Therapist in Louisville, KY. Individual provider (NPI-1).
NPI number1235223751
StatusActive
Last updated in NPPESMay 4, 2016
Details
- NPI
- 1235223751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Lynn Thieneman
- Credential
- LCSW, LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2006
- Last updated
- May 4, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0440 | KY | Yes |
| 1041C0700X | Social Worker, Clinical | 0885 | KY |
Practice location
8521 Lagrange RdPhysician'S Bldg
Louisville, KY 40242-3800
Phone 502-644-5433 · Fax 502-814-3745
Mailing address
Po Box 22816Louisville, KY 40252-0816
Phone 502-644-5433 · Fax 502-814-3745
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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