MEDICARE: MS. ALISON KAY TEMPERO 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	87001598A	IN
2	1041C0700X	Clinical Social Worker	34008363A	IN
3	1041C0700X	Clinical Social Worker	257149	KY

General Provider Information

NPI Number	:	1194296400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISON KAY TEMPERO LCSW

Provider Business Mailing Address
First Line	:	2649 ROANOKE AVE
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2450
Country	:	US
Telephone Number	:	502-240-7069
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 DUTCHMANS PKWY STE 205
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3343
Country	:	US
Telephone Number	:	812-208-1644
Fax Number	:	502-540-8998

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

Provider Enumeration Date	:	12/13/2018
Last Update Date	:	10/11/2023

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