Ridge, Raleigh

Ridge, Raleigh is an individual health care provider with primary practice located at 4010 Dupont Cir Ste 312, Louisville KY 40207-4881. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ridge, Raleigh can be contacted via phone (812) 282-1888.

Contact Information

Primary practice address
4010 Dupont Cir Ste 312 Louisville KY 40207-4881
Phone: (812) 282-1888
Fax: (812) 285-8392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0831 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X B4003038 Indiana

Profile Details

NPI number 1306842448
LBN Legal business name Ridge, Raleigh
Credentials LCSW, BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years 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 1306842448 NPPES
Kentucky MEDICAID 8200053000

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