| Jane Burgess Wallen, LCSW | |
|
60 Professional Park Dr, Louisa, KY 41230-9644 | |
| (606) 638-4332 | |
| (606) 638-4394 |
| Full Name | Jane Burgess Wallen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 60 Professional Park Dr, Louisa, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245258383 | NPI | - | NPPES |
| 001723358 | Other | MSBCBS | |
| 7100282900 | Medicaid | KY | |
| 610661987 | Other | CORPHEALTH | |
| 1175490 | Other | CHA | |
| 000000207306 | Other | KY | ANTHEM BCBS |
| 11491126 | Other | CAQH # | |
| 279403 | Other | MANAGED HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | KY-1263 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Burgess Wallen, LCSW Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Jane Burgess Wallen, LCSW 60 Professional Park Dr, Louisa, KY 41230-9644 Ph: (606) 638-4332 |
Tiffany Short, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Eugenia Wilson, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Deanna Delores Bolin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 Fax: 859-813-5394 | |
Emily Jones-gray, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Christie Lynn Thomas, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Tiffanie Conley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 |