MEDICARE: PAIGE BRICKLER MSW, LSW, CSW, 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	104100000X	Social Worker	S.2411294	OH
2	1041C0700X	Clinical Social Worker	S.2411294	OH
3	1041C0700X	Clinical Social Worker	257900	KY
4	1041C0700X	Clinical Social Worker	LCSW00001018	KY

General Provider Information

NPI Number	:	1811791296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE BRICKLER MSW, LSW, CSW, LCSW

Provider Business Mailing Address
First Line	:	22 SAINT JUDE CIR
Second Line	:
City	:	FLORENCE
State	:	KY
Zip	:	41042-2505
Country	:	US
Telephone Number	:	859-250-4017
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 CHILDRENS WAY
Second Line	:
City	:	UNION
State	:	KY
Zip	:	41091-7829
Country	:	US
Telephone Number	:	859-647-6700
Fax Number	:

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

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	06/16/2025

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