| Katherine Self, LCSW | |
|
401 Highland Park Dr, Richmond, KY 40475-3839 | |
| (859) 626-7700 | |
| (859) 626-7890 |
| Full Name | Katherine Self |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 401 Highland Park Dr, Richmond, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912141706 | NPI | - | NPPES |
| 7100095610 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3067 (Kentucky) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Self, LCSW 1010 Main St South, Mc Kee, KY 40447-7089 Ph: (859) 626-7700 | Katherine Self, LCSW 401 Highland Park Dr, Richmond, KY 40475-3839 Ph: (859) 626-7700 |
Donetta S Peek, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 Highland Park Dr, Richmond, KY 40475 Phone: 859-626-7700 Fax: 859-626-7890 | |
Holly Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Radio Park Dr, Richmond, KY 40475 Phone: 859-358-5369 | |
Helen Jeanette Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 Highland Park Dr, Richmond, KY 40475 Phone: 859-626-7700 Fax: 859-626-7890 | |
Franklin Sibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1043 Center Dr, Richmond, KY 40475 Phone: 606-813-3880 | |
Taylor Rose Albitar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 N 2nd St Ste 100, Richmond, KY 40475 Phone: 808-482-8800 Fax: 808-482-8804 | |
Ms. Kimberly Stevens, MSW / LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1043 Center Dr, Richmond, KY 40475 Phone: 606-548-0264 | |
Stephanie Elaine Burris, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Gibson Ln, Richmond, KY 40475 Phone: 859-626-5030 |