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NPI Code Detail

MEDICARE: DEWEY RAINS LCSW

MEDICARE: DEWEY RAINS 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 Worker1193KY

General Provider Information

NPI Number : 1427074301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEWEY RAINS LCSW
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 606-676-0638
Fax Number : 606-676-0789
Provider Business Practice Location Address
First Line : 404 STEVE DR STE 102
Second Line :
City : RUSSELL SPRINGS
State : KY
Zip : 42642-4622
Country : US
Telephone Number : 606-866-3161
Fax Number : 606-866-3163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 06/10/2021

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Directions to “ DEWEY RAINS LCSW” Practice Location

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