| Lauren Polly, LCSW | |
|
204 Bevins Ln Ste A, Georgetown, KY 40324-6145 | |
| (859) 951-9777 | |
| (859) 951-9779 |
| Full Name | Lauren Polly |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 204 Bevins Ln Ste A, Georgetown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427702554 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 257607 (Kentucky) | Secondary |
| 104100000X | Social Worker | 254871 (Kentucky) | Primary |
| Entity Name | New Vista Of The Bluegrass Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Polly, LCSW 204 Bevins Ln Ste A, Georgetown, KY 40324-6145 Ph: (859) 951-9777 | Lauren Polly, LCSW 204 Bevins Ln Ste A, Georgetown, KY 40324-6145 Ph: (859) 951-9777 |
Randolph C Moler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Roach St, Georgetown, KY 40324 Phone: 859-253-1686 Fax: 859-254-2743 | |
Jean M Miller, LISW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 E. Main Street, Georgetown, KY 40324 Phone: 937-293-8300 Fax: 937-534-1347 | |
Mrs. Amy Cooper-puckett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 137 E Main St, Georgetown, KY 40324 Phone: 859-309-6245 | |
Mrs. Karen Michelle Dobson Zamora, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2689 Frankfort Rd, Georgetown, KY 40324 Phone: 859-537-9779 Fax: 502-868-9312 | |
Angela Mahorney, MSSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 502-383-4828 | |
Denise Hall, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Kiawah Ct, Georgetown, KY 40324 Phone: 859-806-7555 | |
Kelly Marie Justice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Wishing Well Path Apt 2308, Georgetown, KY 40324 Phone: 859-429-2131 |