Healthcare Provider Details

I. General information

NPI: 1871427047
Provider Name (Legal Business Name): BRIDGETTE ANN HONAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BELMONT AVE
SOMERSET KY
42501-2419
US

IV. Provider business mailing address

PO BOX 3044
WEST SOMERSET KY
42564-3044
US

V. Phone/Fax

Practice location:
  • Phone: 606-687-2038
  • Fax: 606-200-3654
Mailing address:
  • Phone: 606-687-2038
  • Fax: 606-200-3654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001601
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: