Angela M Hogan, LCSW | |
4414 Old Lagrange Rd, Buckner, KY 40010-9547 | |
(502) 222-2389 | |
Not Available |
Full Name | Angela M Hogan |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 4414 Old Lagrange Rd, Buckner, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225702483 | NPI | - | NPPES |
7100775610 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 262577 (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | 252954 (Kentucky) | Secondary |
101Y00000X | Counselor | 256346 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonhealth Llc | 2163833476 | 2 |
Entity Name | Commonhealth Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902425515 PECOS PAC ID: 2163833476 Enrollment ID: O20201117002651 |
Entity Name | Prodigal Ministries Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662717 PECOS PAC ID: 2860840493 Enrollment ID: O20231121000960 |
Mailing Address | Practice Location Address |
---|---|
Angela M Hogan, LCSW Po Box 1484, Crestwood, KY 40014-1484 Ph: (502) 222-2389 | Angela M Hogan, LCSW 4414 Old Lagrange Rd, Buckner, KY 40010-9547 Ph: (502) 222-2389 |
Ashley Stump, CADCA1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Rodney Frederick, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Brittanni Mcmanaway, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Michael Henney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927 | |
Scottye Sparks, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927 | |
Deenie Pelfrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 |