Healthcare Provider Details

I. General information

NPI: 1932019395
Provider Name (Legal Business Name): AMY BASSETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2496 DEER LN
HENDERSON KY
42420-2521
US

IV. Provider business mailing address

2496 DEER LN
HENDERSON KY
42420-2521
US

V. Phone/Fax

Practice location:
  • Phone: 270-860-3835
  • Fax:
Mailing address:
  • Phone: 270-860-3835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001351
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34011062A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: