Healthcare Provider Details

I. General information

NPI: 1700431913
Provider Name (Legal Business Name): KARI OROSCO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 WESTEN ST
BOWLING GREEN KY
42104-3352
US

IV. Provider business mailing address

900 BROOKHAVEN DR
RUSSELLVILLE KY
42276-1031
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-1072
  • Fax: 270-904-1073
Mailing address:
  • Phone: 270-604-1335
  • Fax: 270-904-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001718
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: