Healthcare Provider Details

I. General information

NPI: 1760303986
Provider Name (Legal Business Name): WHITNEY DURHAM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 LETTON DR
DANVILLE KY
40422-9389
US

IV. Provider business mailing address

117 LETTON DR
DANVILLE KY
40422-9389
US

V. Phone/Fax

Practice location:
  • Phone: 859-324-2126
  • Fax: 859-324-2126
Mailing address:
  • Phone: 859-324-2126
  • Fax: 859-324-2126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001703
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: