Shelley Kaye Adkins

Individual provider Active NPI Clinical Social Worker · Vine Grove, KY

NPI 1295098309 · NPPES record last updated Jun 22, 2012

Key facts

NPI
1295098309
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1957 (KY)
Practice address
2255 Knox Ave
Vine Grove, KY 40175-9401
Phone
(270) 877-2024
NPI assigned
Jun 22, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1957 KY Yes

Addresses

Primary practice location

2255 Knox Ave
Vine Grove, KY 40175-9401

Mailing address

2255 Knox Ave
Vine Grove, KY 40175-9401
Phone (270) 877-2024

Other providers in Vine Grove, KY

All providers in Vine Grove, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.