| Cassady D Cobb Lcsw Llc | |
|
970 Bloomfield Rd Bardstown KY 40004-9708 | |
| (270) 234-6695 | |
| Not Available |
| Full Name | Cassady D Cobb Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 970 Bloomfield Rd, Bardstown, Kentucky |
| Authorized Official Name and Position | Cassady Cobb (OWNER) |
| Authorized Official Contact | 2702346695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassady D Cobb Lcsw Llc Po Box 1429 Bardstown KY 40004-4429 Ph: (502) 331-6296 | Cassady D Cobb Lcsw Llc 970 Bloomfield Rd Bardstown KY 40004-9708 Ph: (270) 234-6695 |
| NPI Number | 1457878589 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 05/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457878589 | NPI | - | NPPES |
| PENDING | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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