Amy S Sutter, LCSW
Individual provider Active NPI Social Worker · Petersburg, KY
NPI 1124368741 · NPPES record last updated Feb 19, 2013
Key facts
- NPI
- 1124368741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3257 (KY)
- Practice address
- 2440 Lawrenceburg Ferry Rd
Petersburg, KY 41080-8702 - Phone
- (859) 445-3556
- Fax
- (502) 567-5620
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3257 | KY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3257 | KY | Yes |
Addresses
Primary practice location
2440 Lawrenceburg Ferry Rd
Petersburg, KY 41080-8702
Mailing address
2440 Lawrenceburg Ferry Rd
Petersburg, KY 41080-8702
Phone (859) 445-3556
Other providers in Petersburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.