| Mr Willie Thomas Boddie Jr, LCSW | |
|
306 W Main St, Frankfort, KY 40601-1895 | |
| (502) 385-2748 | |
| (502) 996-8400 |
| Full Name | Mr Willie Thomas Boddie Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 306 W Main St, Frankfort, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245510213 | NPI | - | NPPES |
| 7100282590 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1505 (Kentucky) | Primary |
| Entity Name | Griffin Lyons Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104272418 PECOS PAC ID: 0749549483 Enrollment ID: O20180125001729 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Willie Thomas Boddie Jr, LCSW 306 W Main St, Frankfort, KY 40601-1895 Ph: (502) 385-2748 | Mr Willie Thomas Boddie Jr, LCSW 306 W Main St, Frankfort, KY 40601-1895 Ph: (502) 385-2748 |
Mrs. Andrea Kelly Sparrow, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 130 Kings Daughters Dr, Frankfort, KY 40601 Phone: 502-617-0937 Fax: 502-223-7491 | |
Ms. Melinda Robin Tucker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 306 W Main St Ste 512, Frankfort, KY 40601 Phone: 574-546-1900 Fax: 574-546-1999 | |
Susan Buckman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1030 Burlington Ln Ste 4, Frankfort, KY 40601 Phone: 502-320-3697 | |
Kathryn Elizabeth Ousley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 E Campbell St, Frankfort, KY 40601 Phone: 206-669-3946 | |
Melia Louise Graham, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1604 Louisville Rd, Frankfort, KY 40601 Phone: 844-523-3951 | |
Melissa Wilson-cassidy, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Physicians Park, Frankfort, KY 40601 Phone: 910-584-0678 | |
Christopher Meade, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 627 Comanche Trl, Frankfort, KY 40601 Phone: 502-352-6000 |