Healthcare Provider Details

I. General information

NPI: 1326692666
Provider Name (Legal Business Name): ALLISON GARTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON LOHR LCSW

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BEVINS LN STE C
GEORGETOWN KY
40324-6127
US

IV. Provider business mailing address

210 BEVINS LN STE C
GEORGETOWN KY
40324-6127
US

V. Phone/Fax

Practice location:
  • Phone: 502-868-0622
  • Fax: 502-868-9097
Mailing address:
  • Phone: 502-868-0622
  • Fax: 502-868-9097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number253320
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number255242
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: