Individual provider · NPI-1

Stephanie Renee Abernathy

Social Worker, Clinical · Louisville, KY

NPI number1912537572
StatusActive
Last updated in NPPESApr 24, 2024

Details

NPI
1912537572
Entity type
Individual (NPI-1)
Name
Stephanie Renee Abernathy
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2020
Certification date
Apr 24, 2024
Last updated
Apr 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical259010KYYes
171M00000X Case Manager/Care Coordinator––

Practice location

623 Southwestern Pkwy
Louisville, KY 40211-3209

Phone 502-963-7045

Mailing address

623 Southwestern Pkwy
Louisville, KY 40211-3209

Phone 502-963-7045

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Louisville, KY