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NPI Code Detail

MEDICARE: MS. MAUREEN LAURA TARPEY LCSW, CADC

MEDICARE: MS. MAUREEN LAURA TARPEY LCSW, CADC
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 WorkerKY332KY

General Provider Information

NPI Number : 1336205483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAUREEN LAURA TARPEY LCSW, CADC
Provider Business Mailing Address
First Line : 108 BRIGADOON PKWY
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-1305
Country : US
Telephone Number : 859-272-2558
Fax Number : 859-224-8011
Provider Business Practice Location Address
First Line : 2402 GREATSTONE PT
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3274
Country : US
Telephone Number : 859-272-2558
Fax Number : 859-224-8011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2006
Last Update Date : 07/08/2007

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