Laura A Gaines, LCSW
Individual provider Active NPI Clinical Social Worker · Munfordville, KY
NPI 1306987847 · NPPES record last updated Dec 18, 2017
Key facts
- NPI
- 1306987847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3153 (KY)
- Practice address
- 118 West Union St
Munfordville, KY 42765 - Phone
- (270) 524-9883
- Fax
- (270) 524-0437
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3153 | KY | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3153 | KY | Yes |
Addresses
Primary practice location
118 West Union St
Munfordville, KY 42765
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100291210 | Medicaid | KY |
Other providers in Munfordville, KY
- Lonus Alan Flener
- Ryan Davis Flowers
- Jaylan Marie Ford
- Karl M. Forster
- Veronica K Foster
- Kimberly R Gambino
- Tijuana Nichole Gibson
- Graves Gilbert Clinic, PLLC
- Donald Wayne Green
- Halo Medical Supply, Inc.
All providers in Munfordville, KY · Clinical 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 Dec 18, 2017. 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.