Healthcare Provider Details

I. General information

NPI: 1801266887
Provider Name (Legal Business Name): ANTHONY MOTSINGER LCSW, LCADC, LISW-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 04/17/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 DRUMMOND DR
LEXINGTON KY
40511-9195
US

IV. Provider business mailing address

5706 SECRETARIAT WAY
JEFFERSONVILLE IN
47130
US

V. Phone/Fax

Practice location:
  • Phone: 859-446-8064
  • Fax:
Mailing address:
  • Phone: 859-446-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number172413
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99066837A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1600282.SUPV
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33006683A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: