| Jewish Family & Career Services Of Louisville Inc | |
|
2821 Klempner Way Louisville KY 40205-4203 | |
| (502) 452-6341 | |
| (502) 452-6718 |
| Full Name | Jewish Family & Career Services Of Louisville Inc |
|---|---|
| Speciality | Counselor |
| Location | 2821 Klempner Way, Louisville, Kentucky |
| Authorized Official Name and Position | Bonnie Lewis (CREDITALING MANAGER) |
| Authorized Official Contact | 5024526341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family & Career Services Of Louisville Inc 2821 Klempner Way Louisville KY 40205-4203 Ph: (502) 452-6341 | Jewish Family & Career Services Of Louisville Inc 2821 Klempner Way Louisville KY 40205-4203 Ph: (502) 452-6341 |
| NPI Number | 1083722367 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 2769437607 |
|---|---|
| Medicare Enrollment ID | O20050314000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083722367 | NPI | - | NPPES |
| 7100294110 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jo Kalb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770896193 PECOS PAC ID: 3870617178 Enrollment ID: I20100823001119 |
| Provider Name | Ruth R Staten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033449202 PECOS PAC ID: 1850654088 Enrollment ID: I20180420001477 |
| Provider Name | Sarah Kristine Roos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013689777 PECOS PAC ID: 0547780801 Enrollment ID: I20250218001119 |
| Provider Name | Kathryn Taylor Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780235499 PECOS PAC ID: 0749700391 Enrollment ID: I20250226000405 |
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