| Kelly E Fenwick, LCSW | |
|
601 Lincoln Park Rd, Springfield, KY 40069-1501 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Kelly E Fenwick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 601 Lincoln Park Rd, Springfield, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023772779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 256116 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly E Fenwick, LCSW Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Kelly E Fenwick, LCSW 601 Lincoln Park Rd, Springfield, KY 40069-1501 Ph: (844) 435-0900 |
Mrs. Lori Devine Burns, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Beechwood E, Springfield, KY 40069 Phone: 859-582-2929 | |
Sarah L Young, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 Lincoln Park Rd, Springfield, KY 40069 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mrs. Allison Brooke Ballard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2373 Lincoln Park Rd, Springfield, KY 40069 Phone: 859-481-8223 Fax: 859-336-0291 |