| Mr Thomas C Kurtz, LCSW | |
|
599 Rogersville Rd, Radcliff, KY 40160-9321 | |
| (502) 262-2887 | |
| Not Available |
| Full Name | Mr Thomas C Kurtz |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 599 Rogersville Rd, Radcliff, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912540105 | NPI | - | NPPES |
| 7100648780 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | KYCSW253369 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 255294 (Kentucky) | Primary |
| Entity Name | Ppl Therapeutic Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas C Kurtz, LCSW 790 North Dixie Suite B100, B100 Suite, Elizabthtown, KY 42701 Ph: (270) 900-0576 | Mr Thomas C Kurtz, LCSW 599 Rogersville Rd, Radcliff, KY 40160-9321 Ph: (502) 262-2887 |
Kasandra Hogue, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1191 S Boundary Rd, Radcliff, KY 40160 Phone: 502-419-0668 | |
Mikayla Nicole Goff, MSW CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 S Dixie Blvd, Radcliff, KY 40160 Phone: 859-436-8414 | |
Bruce Hey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 299 W Lincoln Trail Blvd Ste 103, Radcliff, KY 40160 Phone: 270-351-4880 Fax: 270-351-4881 | |
Charles Lewis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 N Woodland Dr, Ste B, Radcliff, KY 40160 Phone: 270-807-0533 Fax: 270-801-0121 | |
Mrs. Shameka Ann Hardin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6000 S Woodland Dr, Radcliff, KY 40160 Phone: 270-352-0172 | |
Michelle Cagle, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 689 Cottonwood Dr, Radcliff, KY 40160 Phone: 270-801-6766 | |
Mrs. Tina Senesi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 S Dixie Blvd Ste 1, Radcliff, KY 40160 Phone: 859-254-1035 |