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NPI Code Detail

MEDICARE: KATHRYN PLOEGER LCSW

MEDICARE: KATHRYN PLOEGER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7614TN

General Provider Information

NPI Number : 1265806780
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN PLOEGER LCSW
Provider Business Mailing Address
First Line : 1113 MURFREESBORO RD STE 319
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-1312
Country : US
Telephone Number : 615-790-0567
Fax Number : 615-814-2924
Provider Business Practice Location Address
First Line : 4803 COLUMBIA PIKE
Second Line :
City : THOMPSONS STATION
State : TN
Zip : 37179-5207
Country : US
Telephone Number : 615-790-0567
Fax Number : 615-814-2924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2015
Last Update Date : 06/22/2021

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