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NPI Code Detail

MEDICARE: MRS. KATHERINE A MCCURRY LCSW

MEDICARE: MRS. KATHERINE A MCCURRY 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 WorkerKY2021KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KY2021OTHERKYLCSW LICENSE #

General Provider Information

NPI Number : 1568548287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE A MCCURRY LCSW
Provider Business Mailing Address
First Line : 25101 CHAGRIN BLVD
Second Line : SUITE 100
City : BEACHWOOD
State : OH
Zip : 44122-5643
Country : US
Telephone Number : 216-831-6611
Fax Number : 216-456-8128
Provider Business Practice Location Address
First Line : 100 EXECUTIVE PARK
Second Line : SUITE 103
City : LOUISVILLE
State : KY
Zip : 40207-4201
Country : US
Telephone Number : 502-552-5068
Fax Number : 216-456-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/05/2016

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