Charlotte A Hazeltine, LCSW, CADC is a
Social Worker - Clinical based in Lexington, Kentucky. Charlotte A Hazeltine is licensed to practice in Kentucky (license number 0400) and her current practice location is
3175 Custer Dr Ste 200, Lexington, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 273-1288.
NPI number for Charlotte A Hazeltine is 1437245826 and her current mailing address is 3430 Brookhaven Dr, Lexington, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437245826.
Healthcare Provider's Profile
| Full Name | Charlotte A Hazeltine |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3175 Custer Dr Ste 200, Lexington, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437245826
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 02/25/2022
Medical Identifiers
Medical identifiers for Charlotte A Hazeltine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437245826 | NPI | - | NPPES |
| 7100544800 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0400 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlotte A Hazeltine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charlotte A Hazeltine, LCSW, CADC
3430 Brookhaven Dr,
Lexington, KY 40502-3331
Ph: () - | Charlotte A Hazeltine, LCSW, CADC
3175 Custer Dr Ste 200,
Lexington, KY 40517-4023
Ph: (859) 273-1288 |
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