Reva Poynter Carnes
Individual provider Active NPI Clinical Social Worker · Jamestown, KY
NPI 1336325331 · NPPES record last updated Jan 21, 2008
Key facts
- NPI
- 1336325331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1668 (KY)
- Practice address
- 148 Carnes Loop
Jamestown, KY 42629-6725 - Phone
- (270) 343-3909
- NPI assigned
- Jan 21, 2008
- 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 |
|---|---|---|---|
| 1668 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1668 | KY | Yes |
Addresses
Primary practice location
148 Carnes Loop
Jamestown, KY 42629-6725
Mailing address
148 Carnes Loop
Jamestown, KY 42629-6725
Phone (270) 343-3909
Other providers in Jamestown, KY
- Kelly Burgess
- Jessica Byrd
- Jamie Lyn Cameron
- Kristy Lynn Campbell
- Michelle Egnew Carnes
- Marci Chapman
- Bridget Clark
- Ruben Ray Clark
- Sarah Coe
- Laura Brooke Coffey
All providers in Jamestown, 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 Jan 21, 2008. 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.