| Carrie M. Heuser, Inc | |
|
501 Washburn Ave Louisville KY 40222-4725 | |
| (502) 594-6671 | |
| (502) 653-7417 |
| Full Name | Carrie M. Heuser, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 501 Washburn Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Carrie Melissa Heuser (PRESIDENT) |
| Authorized Official Contact | 5025946671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie M. Heuser, Inc 2507 Old Hickory Rd Louisville KY 40299-2832 Ph: (502) 594-6671 | Carrie M. Heuser, Inc 501 Washburn Ave Louisville KY 40222-4725 Ph: (502) 594-6671 |
| NPI Number | 1194283556 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 03/05/2019 |
| Medicare PECOS PAC ID | 9739428822 |
|---|---|
| Medicare Enrollment ID | O20190307001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194283556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carrie Heuser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609113190 PECOS PAC ID: 7012136302 Enrollment ID: I20140918001690 |
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