Mental Health And Canine Therapy

Clinical Social Worker · Louisville, KY

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At a glance

1949 Goldsmith Ln Ste 103, Louisville, KY 40218-3096

NPPES record updated May 15, 2025. Public records can lag behind changes at a practice.

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Practice location

1949 Goldsmith Ln Ste 103
Louisville, KY 40218-3096
Professional details: NPI, taxonomy & registry record
NPI1861201980
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jan 3, 2025
Record updated
May 15, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

133V00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1949 Goldsmith Ln Ste 103
Louisville, KY 40218-3096
Phone
(731) 803-8053
Mailing address
1949 GOLDSMITH LN STE 103

LOUISVILLE, KY 402183096
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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