Sandra W Renfro, LCSW, CADC is a
Social Worker - Clinical based in Fort Campbell, Kentucky. Sandra W Renfro is licensed to practice in Kentucky (license number 1179) and her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 956-0727.
NPI number for Sandra W Renfro is 1528207453 and her current mailing address is 650 Joel Dr, Fort Campbell, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528207453.
Healthcare Provider's Profile
| Full Name | Sandra W Renfro |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528207453
- Provider Enumeration Date: 02/17/2009
- Last Update Date: 06/29/2018
Medical Identifiers
Medical identifiers for Sandra W Renfro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528207453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0604 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1179 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra W Renfro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sandra W Renfro, LCSW, CADC
650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 956-0727 | Sandra W Renfro, LCSW, CADC
650 Joel Dr,
Fort Campbell, KY 42223
Ph: (270) 956-0727 |
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