MEDICARE: VIEWPOINT PSYCHOLOGICAL SERVICES PLLC

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	993	KY
2	1041C0700X	Clinical Social Worker	1971	KY
3	103TC0700X	Clinical Psychologist	404	KY

General Provider Information

NPI Number	:	1568593176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIEWPOINT PSYCHOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	1455 S FORT THOMAS AVE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2453
Country	:	US
Telephone Number	:	859-442-8439
Fax Number	:	859-781-0123

Provider Business Practice Location Address
First Line	:	1455 S FORT THOMAS AVE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2453
Country	:	US
Telephone Number	:	859-442-8439
Fax Number	:	859-781-0123

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	TED ROBERT OSSEGE
Credential	:	LCSW
Telephone Number	:	859-442-8439

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	04/12/2024

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