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NPI Code Detail

MEDICARE: ANGELA B BROWN CORNETT CSW

MEDICARE: ANGELA B BROWN CORNETT CSW
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 Worker258915KY

General Provider Information

NPI Number : 1508720137
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA B BROWN CORNETT CSW
Provider Business Mailing Address
First Line : 7806 SUNSET RD
Second Line :
City : PEWEE VALLEY
State : KY
Zip : 40056-9108
Country : US
Telephone Number : 502-345-2772
Fax Number :
Provider Business Practice Location Address
First Line : 7806 SUNSET RD
Second Line :
City : PEWEE VALLEY
State : KY
Zip : 40056-9108
Country : US
Telephone Number : 502-345-2772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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