Brenda C Tallent, LCSW

Individual provider Active NPI Clinical Social Worker · Burkesville, KY

NPI 1346353992 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346353992
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
KY-863 (KY)
Practice address
299 Glasgow Road
Burkesville, KY 42717
Phone
(270) 864-2511
NPI assigned
Aug 17, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
KY-863KYMDClinical Social Worker
0863KYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X KY-863 KY Yes

Addresses

Primary practice location

299 Glasgow Road
Burkesville, KY 42717

Mailing address

1006 Allen St
PO Box 412
Albany, KY 42602-1734

Other providers in Burkesville, KY

All providers in Burkesville, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.