MEDICARE: MS. DONA JOY AIREY LCSW, LMT

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
1	1041C0700X	Clinical Social Worker	0638	KY
2	174400000X	Specialist	KY-1933	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	178865	OTHER	KY	VALUE OPTIONS
2	2136433	OTHER	KY	CIGNA BEHAVIORAL HEALTH
3	208454	OTHER	KY	COMPPSYCH INSURANCE
4	0578650000	OTHER	KY	MAGELLAN
5	1548306665	OTHER	KY	ANODON, INC NPI (CORPORA
6	000000230216	OTHER	KY	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1295732485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONA JOY AIREY LCSW, LMT

Provider Business Mailing Address
First Line	:	408 VIRGINIA AVE
Second Line	:	STE B
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4722
Country	:	US
Telephone Number	:	502-420-9911
Fax Number	:	502-420-9996

Provider Business Practice Location Address
First Line	:	408 VIRGINIA AVE
Second Line	:	STE B
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4722
Country	:	US
Telephone Number	:	502-420-9911
Fax Number	:	502-420-9996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	09/11/2025

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