Healthcare Provider Details

I. General information

NPI: 1225345168
Provider Name (Legal Business Name): CAROL LOZIER LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7906 NEW LAGRANGE ROAD
LOUISVILLE KY
40222-4718
US

IV. Provider business mailing address

7906 NEW LAGRANGE ROAD
LOUISVILLE KY
40222-4718
US

V. Phone/Fax

Practice location:
  • Phone: 502-426-0550
  • Fax:
Mailing address:
  • Phone: 502-426-0550
  • Fax: 502-290-9363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number780
License Number StateKY

VIII. Authorized Official

Name: CAROL LOZIER
Title or Position: OWNER
Credential: LCSW
Phone: 502-298-3580