| Mr Kristopher Anderson, CSW | |
|
1028 Barret Ave, Louisville, KY 40204-1667 | |
| (502) 451-1221 | |
| Not Available |
| Full Name | Mr Kristopher Anderson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1028 Barret Ave, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316667314 | NPI | - | NPPES |
| 1528180064 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 257021 (Kentucky) | Primary |
| Entity Name | Astra Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922427517 PECOS PAC ID: 0749406577 Enrollment ID: O20140730002637 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kristopher Anderson, CSW The Morton Center, 1028 Barrett Avenue, Louisville, KY 40204 Ph: () - | Mr Kristopher Anderson, CSW 1028 Barret Ave, Louisville, KY 40204-1667 Ph: (502) 451-1221 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 | |
Cha'reme Poynter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1028 Barret Ave, Louisville, KY 40204 Phone: 502-451-1221 | |
Joseph D'ambrosio, PHD, LCSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4601 S 6th St, Louisville, KY 40214 Phone: 502-791-6090 | |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 | |
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 | |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 | |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 |