Santosh Adhikary, LCADC
Individual provider Active NPI Clinical Social Worker · Covington, KY
NPI 1477074862 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477074862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 254229 (KY)
- Practice address
- 502 Farrell Dr
Covington, KY 41011-3717 - Phone
- (859) 578-3200
- Fax
- (859) 578-3273
- NPI assigned
- Jul 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|
| 165997 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165997 | KY | |
| Clinical Social Worker | 1041C0700X | 254229 | KY | Yes |
Addresses
Primary practice location
502 Farrell Dr
Covington, KY 41011-3717
Mailing address
503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | 610661458 |
Other providers in Covington, KY
- A a Seales PSC
- Kristina Ashley Adcock
- Olusola Adekoya
- Sharee Allen
- Jessica Yvonne Allender
- Nancy Marie Alley
- Wala'a Almallah
- Prety Amom
All providers in Covington, 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 Jul 21, 2022. 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.