| Andrea Sparrow, Lcsw | |
|
130 Kings Daughters Dr Frankfort KY 40601-4248 | |
| (502) 617-0937 | |
| (502) 223-7491 |
| Full Name | Andrea Sparrow, Lcsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 130 Kings Daughters Dr, Frankfort, Kentucky |
| Authorized Official Name and Position | Andrea K Sparrow (MANAGER) |
| Authorized Official Contact | 5026170937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Sparrow, Lcsw 1626 S Benson Rd Frankfort KY 40601-9747 Ph: (502) 385-1079 | Andrea Sparrow, Lcsw 130 Kings Daughters Dr Frankfort KY 40601-4248 Ph: (502) 617-0937 |
| NPI Number | 1770218737 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Medicare PECOS PAC ID | 5890178883 |
|---|---|
| Medicare Enrollment ID | O20220824002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770218737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrea Kelly Sparrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023191335 PECOS PAC ID: 8729349808 Enrollment ID: I20180306002504 |
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