| Uk Licensed Clinical Social Worker | |
|
3470 Blazer Pkwy Lexington KY 40509-1200 | |
| (859) 323-6021 | |
| Not Available |
| Full Name | Uk Licensed Clinical Social Worker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3470 Blazer Pkwy, Lexington, Kentucky |
| Authorized Official Name and Position | Michael Karpf (EVPHO) |
| Authorized Official Contact | 8592577910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uk Licensed Clinical Social Worker 138 Leader Ave Lexington KY 40536-0001 Ph: (859) 257-7910 | Uk Licensed Clinical Social Worker 3470 Blazer Pkwy Lexington KY 40509-1200 Ph: (859) 323-6021 |
| NPI Number | 1811190143 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811190143 | NPI | - | NPPES |
| 82900002 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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