MEDICARE: MS. KARA ROSS HARDESTY 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	101YM0800X	Mental Health Counselor		KY
2	1041C0700X	Clinical Social Worker	SW17656	FL
3	1041C0700X	Clinical Social Worker	254624	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1841733912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARA ROSS HARDESTY LCSW

Provider Business Mailing Address
First Line	:	191 DOCTORS DR
Second Line	:
City	:	FRANKFORT
State	:	KY
Zip	:	40601-4101
Country	:	US
Telephone Number	:	502-223-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 PROSPEROUS PL STE 201
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1866
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

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

Provider Enumeration Date	:	11/22/2016
Last Update Date	:	01/30/2025

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