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General NPI Number Information
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NPI Number | 1225541535
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Entity Type | Individual
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Provider Name | LIBERTY POWELL CSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1795 ALYSHEBA WAY STE 7202 PMB 50499
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City | LEXINGTON
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State | KY
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Zip | 40509-2481
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Country | US
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Telephone | 270-314-5866
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Fax |
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Provider Business Mailing Address
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Address Line | 231 CECIL AVE
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City | LOUISVILLE
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State | KY
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Zip | 40212-2525
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Country | US
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Telephone | 270-314-5866
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 252948
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW00001135
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33011934A
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License Number State | IN
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