Lake Cumberland Community Action Agency, Inc.
Organization Active NPI Case Management Agency · Russell Springs, KY
NPI 1386325447 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1386325447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
- Practice address
- 9321 Russell Springs Rd
Russell Springs, KY 42642-7713 - Phone
- (270) 343-4600
- NPI assigned
- Jul 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Beth Davenport
- Title
- Finance Director
- Phone
- (270) 343-4600
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Dunbar Intergenerational Center Adult Day Health Services
Locations
9321 Russell Springs Rd
Russell Springs, KY 42642
Phone (270) 343-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Driver |
172A00000X | |||
| Community Health Worker |
172V00000X | |||
| Peer Specialist |
175T00000X | |||
| Case Management Agency | 251B00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Prevention Professional |
405300000X |
Addresses
Primary practice location
9321 Russell Springs Rd
Russell Springs, KY 42642-7713
Mailing address
PO Box 830
Jamestown, KY 42629-0830
Phone (270) 343-4600
Other providers in Russell Springs, KY
- Kroger Limited Partnership I
- Lake Cumberland Area Development District
- Lake Cumberland Area Development District
- Lake Cumberland Area Development District
- Lake Cumberland Area Development District
- Lake Cumberland District Health Dept
- Lake Cumberland District Health Dept
- Lake Cumberland District Health Dept
- Lake Cumberland District Heatlh Dept
- Lake Cumberland Pharmacy LLC
All providers in Russell Springs, KY · Case Management Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 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.