Mr Jerry Lynn Grugin Jr, MSW | |
324 Highland Park Dr, Richmond, KY 40475-3487 | |
(859) 254-1035 | |
(859) 254-2075 |
Full Name | Mr Jerry Lynn Grugin Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 324 Highland Park Dr, Richmond, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568017051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Kvc Behavioral Healthcare Kentucky Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083902191 PECOS PAC ID: 3072912880 Enrollment ID: O20210527002738 |
Mailing Address | Practice Location Address |
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Mr Jerry Lynn Grugin Jr, MSW 2250 Thunderstick Dr, Lexington, KY 40505-9010 Ph: (859) 254-1035 | Mr Jerry Lynn Grugin Jr, MSW 324 Highland Park Dr, Richmond, KY 40475-3487 Ph: (859) 254-1035 |
Donetta S Peek, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 Highland Park Dr, Richmond, KY 40475 Phone: 859-626-7700 Fax: 859-626-7890 | |
Holly Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Radio Park Dr, Richmond, KY 40475 Phone: 859-358-5369 | |
Helen Jeanette Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 Highland Park Dr, Richmond, KY 40475 Phone: 859-626-7700 Fax: 859-626-7890 | |
Franklin Sibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1043 Center Dr, Richmond, KY 40475 Phone: 606-813-3880 | |
Taylor Rose Albitar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 N 2nd St Ste 100, Richmond, KY 40475 Phone: 808-482-8800 Fax: 808-482-8804 | |
Ms. Kimberly Stevens, MSW / LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1043 Center Dr, Richmond, KY 40475 Phone: 606-548-0264 | |
Stephanie Elaine Burris, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Gibson Ln, Richmond, KY 40475 Phone: 859-626-5030 |