Richard Blake Conley, LCSW | |
1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | |
(859) 253-1686 | |
Not Available |
Full Name | Richard Blake Conley |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1351 Newtown Pike Bldg 1, Lexington, 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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1245981398 | NPI | - | NPPES |
1790731081 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 258866 (Kentucky) | Primary |
104100000X | Social Worker | (Kentucky) | Secondary |
Entity Name | New Vista Of The Bluegrass Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
Mailing Address | Practice Location Address |
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Richard Blake Conley, LCSW 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 Ph: (859) 253-1686 | Richard Blake Conley, LCSW 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 Ph: (859) 253-1686 |
Miss Cymbre Lin Root, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 230 N Limestone # 100, Lexington, KY 40507 Phone: 859-303-8041 | |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 |