| Alicia Lacy, | |
|
7903 Roycewood Rd, Louisville, KY 40214-5908 | |
| (502) 500-0658 | |
| Not Available |
| Full Name | Alicia Lacy |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7903 Roycewood Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710211297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 258534 (Kentucky) | Primary |
| Entity Name | Kentucky Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Lacy, 7903 Roycewood Rd, Louisville, KY 40214-5908 Ph: (502) 500-0658 | Alicia Lacy, 7903 Roycewood Rd, Louisville, KY 40214-5908 Ph: (502) 500-0658 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 | |
Cha'reme Poynter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1028 Barret Ave, Louisville, KY 40204 Phone: 502-451-1221 | |
Joseph D'ambrosio, PHD, LCSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4601 S 6th St, Louisville, KY 40214 Phone: 502-791-6090 | |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 | |
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 | |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 | |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 |