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NPI Code Detail

MEDICARE: MR. BERRAC J STRODE LCSW

MEDICARE: MR. BERRAC J STRODE 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
11041C0700XClinical Social WorkerLCSW00001485KY

General Provider Information

NPI Number : 1184114571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BERRAC J STRODE LCSW
Provider Business Mailing Address
First Line : 1030 MONARCH ST STE 100
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1820
Country : US
Telephone Number : 216-468-5000
Fax Number : 216-456-8128
Provider Business Practice Location Address
First Line : 1030 MONARCH ST STE 100
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1820
Country : US
Telephone Number : 216-468-5000
Fax Number : 216-456-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2018
Last Update Date : 05/14/2026

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