Self, Katherine
Self, Katherine is an individual health care provider with primary practice located at 401 Highland Park Dr , Richmond KY 40475-3839. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Self, Katherine can be contacted via phone (859) 626-7700.Contact Information
Primary practice address
401 Highland Park Dr
Richmond KY 40475-3839
Phone: (859) 626-7700
Fax: (859) 626-7890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3067 | Kentucky |
Profile Details
| NPI number | 1912141706 |
|---|---|
| LBN Legal business name | Self, Katherine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2009 |
| Last updated | Feb 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912141706 | NPPES |
| Kentucky | MEDICAID | 7100095610 |
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