Carol R Loose, LCSW, RPT | |
125 Orchard Dr, Nicholasville, KY 40356-2690 | |
(859) 359-2135 | |
Not Available |
Full Name | Carol R Loose |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 125 Orchard Dr, Nicholasville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407279318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 3391 (Kentucky) | Primary |
Entity Name | Mental Health & Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548779556 PECOS PAC ID: 6709143316 Enrollment ID: O20171206000649 |
Mailing Address | Practice Location Address |
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Carol R Loose, LCSW, RPT 125 Orchard Dr, Nicholasville, KY 40356-2690 Ph: () - | Carol R Loose, LCSW, RPT 125 Orchard Dr, Nicholasville, KY 40356-2690 Ph: (859) 359-2135 |
Mrs. Heather Renee Butler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Wind Haven Dr Ste 203, Nicholasville, KY 40356 Phone: 859-797-1058 | |
Lee-anne Marie Vaughn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 Orchard Dr, Nicholasville, KY 40356 Phone: 859-494-2530 | |
Heather Berry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 Ashgrove Rd, Nicholasville, KY 40356 Phone: 859-553-9755 | |
Samantha Brianna Chenot, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 Ashgrove Rd, Nicholasville, KY 40356 Phone: 859-523-4683 | |
Roger Fox Ii, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 N Main St, Nicholasville, KY 40356 Phone: 859-252-1939 | |
Stephen White Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Wind Haven Dr Ste 203, Nicholasville, KY 40356 Phone: 859-219-9800 Fax: 859-219-9883 |