Ayla Christian, CSW
Individual provider Active NPI Social Worker · Grayson, KY
NPI 1487039012 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1487039012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6707 (KY)
- Practice address
- 59 Fivco CT
Grayson, KY 41143-6107 - Phone
- (606) 928-4240
- Fax
- (606) 928-4281
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 6707 | KY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Necco, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6707 | KY | Yes |
Addresses
Primary practice location
59 Fivco CT
Grayson, KY 41143-6107
Mailing address
59 Fivco CT
Grayson, KY 41143-6107
Phone (606) 928-4240
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. 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.