MEDICARE: PHYLLIS LEIGH 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	3757	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346657111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLLIS LEIGH LCSW

Provider Business Mailing Address
First Line	:	961 BEASLEY ST STE 170
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-4120
Country	:	US
Telephone Number	:	859-396-3376
Fax Number	:	859-286-6448

Provider Business Practice Location Address
First Line	:	961 BEASLEY ST STE 170
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-4120
Country	:	US
Telephone Number	:	859-230-4987
Fax Number	:	859-286-6448

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

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	10/31/2017

Similar Medicare Providers

1831231554 — MRS. TIFFANY RATCLIFF DAIL MSW, LCSW
Practice Location Address:

961 BEASLEY ST STE 170
LEXINGTON, KY
40509-4120

Practice Phone: 859-226-5022
Practice Fax: 859-226-5025

1013151711 — MS. JUDY ANN HARRISON APRN
Practice Location Address:

961 BEASLEY ST , STE 170
LEXINGTON, KY
40509-4120

Practice Phone: 859-226-5022
Practice Fax: 859-226-5025

1558747790 — KEY ASSETS KENTUCKY, INC.
Practice Location Address:

961 BEASLEY ST STE 170
LEXINGTON, KY
40509-4120

Practice Phone: 859-226-5025
Practice Fax:

1528566452 — ALISON HARRIS LCSW
Practice Location Address:

961 BEASLEY ST STE 160
LEXINGTON, KY
40509-4120

Practice Phone: 859-286-5744
Practice Fax: 859-286-6448

1598246043 — MRS. NICOLE LALLY LCSW TCADC
Practice Location Address:

961 BEASLEY ST STE 170
LEXINGTON, KY
40509-4120

Practice Phone: 859-382-7328
Practice Fax: 859-286-6448

1184249617 — KIMBERLY ANNE DAVIS LCSW
Practice Location Address:

961 BEASLEY ST STE 170
LEXINGTON, KY
40509-4120

Practice Phone: 859-226-5022
Practice Fax:

Directions to “ PHYLLIS LEIGH 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.