Stephen Coonrod, LCSW | |
30 Stacy Lane Rd, Irvine, KY 40336-7356 | |
(606) 723-0665 | |
Not Available |
Full Name | Stephen Coonrod |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 5 Years |
Location | 30 Stacy Lane Rd, Irvine, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851951032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 254144 (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | 256471 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
Mailing Address | Practice Location Address |
---|---|
Stephen Coonrod, LCSW 1761 Yorktown Rd, Lexington, KY 40504-2231 Ph: (859) 536-1357 | Stephen Coonrod, LCSW 30 Stacy Lane Rd, Irvine, KY 40336-7356 Ph: (606) 723-0665 |
Sherry Dillon, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Stacy Lane Rd, Irvine, KY 40336 Phone: 606-723-0665 | |
Christen Goosey, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Round Mountain Rd, Irvine, KY 40336 Phone: 606-643-9525 | |
Miss Amanda G Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 Mercy Ct, Irvine, KY 40336 Phone: 606-726-2151 Fax: 606-726-2149 |