Sara Christine Myers
Individual provider Active NPI Social Worker · Tompkinsville, KY
NPI 1194469700 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1194469700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 258377 (KY)
- Practice address
- 200 N Crawford St
Tompkinsville, KY 42167-1678 - Phone
- (270) 901-5000
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 258377 | KY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 258377 | KY | Yes |
Addresses
Primary practice location
200 N Crawford St
Tompkinsville, KY 42167-1678
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other practice location 1
112 Sartin Dr
Edmonton, KY 42129-8170
Phone (270) 901-5000
Other names
- Sara Christine Duvall
Other providers in Tompkinsville, KY
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- New Monroe Health & Rehabilitation Center, LLC
- Deanna Arlene Nichols
- John P Nixon
- Tina Norris
- Jennifer O'Dell
All providers in Tompkinsville, KY · Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. 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.