Polly, Lauren

Polly, Lauren is an individual health care provider with primary practice located at 204 Bevins Ln Ste A , Georgetown KY 40324-6145. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Polly, Lauren can be contacted via phone (859) 951-9777.

Contact Information

Primary practice address
204 Bevins Ln Ste A Georgetown KY 40324-6145
Phone: (859) 951-9777
Fax: (859) 951-9779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 257607 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X 254871 Kentucky

Profile Details

NPI number 1427702554
LBN Legal business name Polly, Lauren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2022
Last updated Feb 26th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427702554 NPPES
Kentucky MEDICAID 1790731081

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