Mr Anthony Justin Shults, LCSW | |
914 E Broadway, Louisville, KY 40204-1037 | |
(502) 587-8833 | |
(502) 589-8758 |
Full Name | Mr Anthony Justin Shults |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 914 E Broadway, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568530459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005140A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | KY1176 (Kentucky) | Primary |
Entity Name | Seven Counties Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034 |
Mailing Address | Practice Location Address |
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Mr Anthony Justin Shults, LCSW 10401 Linn Station Rd Ste 100, Louisville, KY 40223-3842 Ph: (502) 589-8600 | Mr Anthony Justin Shults, LCSW 914 E Broadway, Louisville, KY 40204-1037 Ph: (502) 587-8833 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 | |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 | |
Shaquilla N Cooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 | |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 | |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 | |
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466 | |
David Huey Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 S 4th St Ste 842, Louisville, KY 40202 Phone: 502-584-7216 Fax: 502-585-5373 |