Kaylee Archey, CSW

Individual provider Active NPI Clinical Social Worker · Grayson, KY

NPI 1568095073 · NPPES record last updated Nov 9, 2022

Key facts

NPI
1568095073
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
257444 (KY)
Practice address
840 Interstate Dr
Grayson, KY 41143-1768
Phone
(606) 474-5151
NPI assigned
Feb 13, 2020
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 257444 KY Yes

Addresses

Primary practice location

840 Interstate Dr
Grayson, KY 41143-1768

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588

Other practice location 1

1212 Bath Ave Fl 8
Ashland, KY 41101-2696
Phone (606) 329-8588

Other providers in Grayson, KY

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

Sources for this page

Verify at the official NPI Registry.