Dual Recovery Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1848 Issued in KY

Legal business name

DUAL RECOVERY CENTER

Practice address

1272 Clay St
Louisville, KY 40203

Phone

(502) 637-1000

Fax

(502) 637-9111

NPI assigned

Sep 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Cowan Warner, LCSW

Title

Owner

Phone

(502) 637-1000

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851497143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 CLAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40203",
            "telephone_number": "502-637-1000",
            "fax_number": "502-637-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CLAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40203",
            "telephone_number": "502-637-1000",
            "fax_number": "502-637-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-637-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1848",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004385A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anjali Dubbaka, MD
• Abrianna Dubler, PTA
• Kari Kristiane Dubosque, M.D.

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.