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948 Elm St Suite 2 Bowling Green KY 42101-2277 | |
| (270) 266-1188 | |
| (270) 908-2880 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 948 Elm St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Megan L Harden (CEO) |
| Authorized Official Contact | 2702661188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
948 Elm St Suite 2 Bowling Green KY 42101-2277 Ph: (270) 266-1188 | 948 Elm St Suite 2 Bowling Green KY 42101-2277 Ph: (270) 266-1188 |
| NPI Number | 1508220609 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 10/25/2016 |
| Medicare PECOS PAC ID | 9638430358 |
|---|---|
| Medicare Enrollment ID | O20180220003108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508220609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 163465 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3945 (Kentucky) | Primary |
| Provider Name | Megan Harden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447693478 PECOS PAC ID: 5496070963 Enrollment ID: I20150205000458 |
| Provider Name | Cassandra Hanna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275941353 PECOS PAC ID: 6901228311 Enrollment ID: I20200611002555 |
| Provider Name | Donald Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245976588 PECOS PAC ID: 5597121582 Enrollment ID: I20230517001978 |
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