Healthcare Provider Details

I. General information

NPI: 1437247459
Provider Name (Legal Business Name): MARGARET E BODLING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 S HIGHWAY 27, SUITE 4 SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENT
SOMERSET KY
42501
US

IV. Provider business mailing address

3540 S HIGHWAY 27, SUITE 4 SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENT
SOMERSET KY
42501
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-1815
  • Fax: 606-451-1631
Mailing address:
  • Phone: 606-679-1815
  • Fax: 606-451-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2063
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: