Laura A Gaines, LCSW | |
118 West Union St, Munfordville, KY 42765 | |
(270) 524-9883 | |
(270) 524-0437 |
Full Name | Laura A Gaines |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 118 West Union St, Munfordville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306987847 | NPI | - | NPPES |
7100291210 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3153 (Kentucky) | Primary |
Entity Name | Lifeskills, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330 |
Mailing Address | Practice Location Address |
---|---|
Laura A Gaines, LCSW 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Laura A Gaines, LCSW 118 West Union St, Munfordville, KY 42765 Ph: (270) 524-9883 |
Destinie D Emmitt, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E South St, Munfordville, KY 42765 Phone: 270-696-3181 | |
Shawn M Lanham, LCSW, LCADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 103 East South Street, Munfordville, KY 42765 Phone: 270-696-3181 | |
Brenda Faith Hayes, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 948 Main St, Munfordville, KY 42765 Phone: 270-524-0259 | |
Brianna Brown, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E South St, Munfordville, KY 42765 Phone: 270-696-3181 |