MEDICARE: HODA SHALASH DSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW00001318	KY

General Provider Information

NPI Number	:	1083572572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HODA SHALASH DSW, LCSW

Provider Business Mailing Address
First Line	:	3305 SQUIRE CREEK WAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-5398
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 SQUIRE CREEK WAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-5398
Country	:	US
Telephone Number	:	859-492-4011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1295495752 — MRS. KRISTEN SHOBE
Practice Location Address:

3309 SQUIRE CREEK WAY
LEXINGTON, KY
40515-5398

Practice Phone: 859-693-4209
Practice Fax:

1770358947 — KENTUCKY PHYSICAL THERAPY SERVICES OF LEXINGTON LLC
Practice Location Address:

1005 TANBARK RD
LEXINGTON, KY
40515-1898

Practice Phone: 859-544-5282
Practice Fax: 859-963-1292

1063650547 — BAPTIST HEALTH MEDICAL GROUP INC
Practice Location Address:

1099 DUVAL ST STE 120
LEXINGTON, KY
40515-6489

Practice Phone: 859-263-9009
Practice Fax: 859-639-0091

1639854391 — HIDDEN STRENGTH CHIROPRACTIC AND PERFORMANCE
Practice Location Address:

4750 HARTLAND PKWY
LEXINGTON, KY
40515-1558

Practice Phone: 859-300-2224
Practice Fax:

1942168927 — COURAGEOUS PATHWAYS COUNSELING LLC
Practice Location Address:

4604 HOBBS WAY
LEXINGTON, KY
40515-6295

Practice Phone: 859-379-8338
Practice Fax:

1477553469 — MR. JOHN MICHAEL BRISLIN B.PHARM.,RPH, FIAIHC
Practice Location Address:

1096 DUVAL ST , SUITE J
LEXINGTON, KY
40515-6219

Practice Phone: 859-271-8677
Practice Fax: 866-861-8841

Directions to “ HODA SHALASH DSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.