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NPI Code Detail

MEDICARE: MS. VICTORIA LYNN EWING LCSW

MEDICARE:  MS. VICTORIA LYNN EWING  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 Worker3137KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659420768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA LYNN EWING LCSW
Provider Business Mailing Address
First Line : 5552 BIG PERRY RD
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-8954
Country : US
Telephone Number : 859-312-7229
Fax Number : 859-309-0353
Provider Business Practice Location Address
First Line : 5552 BIG PERRY RD
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-8954
Country : US
Telephone Number : 859-312-7229
Fax Number : 859-309-0353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 08/28/2023

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Directions to “ MS. VICTORIA LYNN EWING LCSW” Practice Location

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