MEDICARE: MIA G PERRY 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
1	1041C0700X	Clinical Social Worker	5032	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891047429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA G PERRY LCSW

Provider Business Mailing Address
First Line	:	2385 RANDOLPH CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-2620
Country	:	US
Telephone Number	:	215-605-5373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1236 PARIS PIKE
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9701
Country	:	US
Telephone Number	:	502-370-7229
Fax Number	:

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

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	01/12/2018

Similar Medicare Providers

1124378575 — KRISTINE WATERS LMFT
Practice Location Address:

1236 PARIS PIKE
GEORGETOWN, KY
40324-9701

Practice Phone: 502-320-7175
Practice Fax:

1306245758 — AMERICAN BEST PRACTICES, LLC
Practice Location Address:

1232 PARIS PIKE
GEORGETOWN, KY
40324-9701

Practice Phone: 502-542-0964
Practice Fax:

1750738506 — FOUNTAIN COMMUNITY HEALTHCARE SERVICES
Practice Location Address:

1232 PARIS PIKE
GEORGETOWN, KY
40324-9701

Practice Phone: 502-542-0964
Practice Fax: 502-868-9152

1316431901 — MEGHAN SHOOK LPCA
Practice Location Address:

1236 PARIS PIKE
GEORGETOWN, KY
40324-9701

Practice Phone: 678-294-1766
Practice Fax:

1669203758 — SARAH WALKER
Practice Location Address:

1234 PARIS PIKE
GEORGETOWN, KY
40324-9701

Practice Phone: 502-352-0374
Practice Fax:

1710015946 — JULIE MARIA LEEZER DEVELOPMENTAL THERAP
Practice Location Address:

9701 COOKS MILL RD
GEORGETOWN, IN
47122-9566

Practice Phone: 812-989-2247
Practice Fax:

Directions to “ MIA G PERRY LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.