| Mr Derrick Paul Wallace, | |
|
2375 Professional Heights Dr Ste 240, Lexington, KY 40503-3040 | |
| (855) 591-0092 | |
| Not Available |
| Full Name | Mr Derrick Paul Wallace |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2375 Professional Heights Dr Ste 240, Lexington, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184275802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derrick Paul Wallace, 2275 Robinson Renaker Rd, Berry, KY 41003-8521 Ph: (859) 699-0090 | Mr Derrick Paul Wallace, 2375 Professional Heights Dr Ste 240, Lexington, KY 40503-3040 Ph: (855) 591-0092 |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 | |
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939 |