| Mr Granville David Decker, LCSW | |
|
125 S Main Cross St, Louisa, KY 41230-1330 | |
| (606) 638-0938 | |
| (859) 813-5394 |
| Full Name | Mr Granville David Decker |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 125 S Main Cross St, Louisa, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841910239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34006043A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 259629 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Granville David Decker, LCSW 4216 Oxmoor Rd, Evansville, IN 47715-1314 Ph: (812) 568-8465 | Mr Granville David Decker, LCSW 125 S Main Cross St, Louisa, KY 41230-1330 Ph: (606) 638-0938 |
Tiffany Short, Clinical Social Worker Medicare: Medicare Enrolled 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: Medicare Enrolled 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 | |
Jane Burgess Wallen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 60 Professional Park Dr, Louisa, KY 41230 Phone: 606-638-4332 Fax: 606-638-4394 |