MEDICARE: AMY DOWNS MSW, 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	258545	KY

General Provider Information

NPI Number	:	1518734631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY DOWNS MSW, LCSW

Provider Business Mailing Address
First Line	:	226 LAKESHORE DR
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-8915
Country	:	US
Telephone Number	:	859-797-7328
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 SIR BARTON WAY STE 125
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2746
Country	:	US
Telephone Number	:	859-639-0050
Fax Number	:

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

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	12/08/2023

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